8/13/2019 Bank Loan Application Form and Checklist

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Copyright Envision Corporation. 2002. All rights reserved. Protected by the copyright laws of the United States & Canada and by international treaties. ! S ""E#A" A$%S!C!"' P()*!E% !( %S!*U!E+ PU*"S)+ (,,E ,( SA"E+ "CE$SE ( SU*"CE$SE+ #-E ( %SC"(SE !( A$' (!)E PA!'+ !)S P(%UC! $)A% C(P' ( %#!A" ,(. A"" (,,E$%ES /"" *E SUE% $ A C(U! (, "A/.

INTERNAL BANK LOAN REVIEW

Primary Officer:Prepared By:

Date Prepared:

Loan Requet

Borro!er:

Buine Information: "orm:

Or#an Date:

Type:

$ana#ement:

O!ner%ip:

&uarantor: !ypically the owner of the b1siness

Requet:

Purpoe:

Term:

Type Amount Rate'"ee Term Repayment

(ource ofRepayment

Primary:

(econdary

Tertiary:

)o**atera* Decription:

)o**atera* Va*uation:

TypeAppraied

Va*ue+ ofADV De,t

A-ai*.Equity

LTV

Acco1nts eceivable 34 50670 days8

nventory 904

E:1ip;ent 34

ar

8/13/2019 Bank Loan Application Form and Checklist

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Copyright Envision Corporation. 2002. All rights reserved. Protected by the copyright laws of the United States & Canada and by international treaties. ! S ""E#A" A$%S!C!"' P()*!E% !( %S!*U!E+ PU*"S)+ (,,E ,( SA"E+ "CE$SE ( SU*"CE$SE+ #-E ( %SC"(SE !( A$' (!)E PA!'+ !)S P(%UC! $)A% C(P' ( %#!A" ,(. A"" (,,E$%ES /"" *E SUE% $ A C(U! (, "A/.

"*ood /a0ard:

En-ironmenta* )oncern:

Bo! De,t:

Type Open /i#% Ba*.1 ofREN Rate Term (E) LTV

Bo! Payment /itory:

Line of )redit 2a#e:

Lo! Ba*ance: 1 of Day at 3ero:

Ot%er De,t:

Depoitory Re*ation%ip:

Name Acct 1 Type Opened Ba*anceA-#.

)o*. Ba*. Rate

A-era#e )ot of "und:

Trut Re*ation%ip:

Bac4#round Information:

"inancia*(tatement:

"ast 9 years of b1siness financial state;ents and=or ta> ret1rns

"ast 9 years of owner?s personal ta> ret1rn

C1rrent personal financial state;ent

B2(INE(( LOAN APPLI)ATION

%ate@

$ew elationship *ranch@

E>isting elationship (fficer@

8/13/2019 Bank Loan Application Form and Checklist

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Copyright Envision Corporation. 2002. All rights reserved. Protected by the copyright laws of the United States & Canada and by international treaties. ! S ""E#A" A$%S!C!"' P()*!E% !( %S!*U!E+ PU*"S)+ (,,E ,( SA"E+ "CE$SE ( SU*"CE$SE+ #-E ( %SC"(SE !( A$' (!)E PA!'+ !)S P(%UC! $)A% C(P' ( %#!A" ,(. A"" (,,E$%ES /"" *E SUE% $ A C(U! (, "A/.

B2(INE(( IN"OR$ATION

*1siness $a;e

Address

!elephone 5 8 !a> .%.

ndivid1al $a;e5s8

Address

!elephone 5 8 Social Sec1rity %ate of *irth@

Proprietorship Partnership S1b6Chapter S Corporation

$on6Profit ndivid1al ""C

O!ner%ip Ditri,ution: 5"ist stoc

8/13/2019 Bank Loan Application Form and Checklist

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Copyright Envision Corporation. 2002. All rights reserved. Protected by the copyright laws of the United States & Canada and by international treaties. ! S ""E#A" A$%S!C!"' P()*!E% !( %S!*U!E+ PU*"S)+ (,,E ,( SA"E+ "CE$SE ( SU*"CE$SE+ #-E ( %SC"(SE !( A$' (!)E PA!'+ !)S P(%UC! $)A% C(P' ( %#!A" ,(. A"" (,,E$%ES /"" *E SUE% $ A C(U! (, "A/.

LOAN RE52E(T

Amount of Loan Requeted Type of *oan

B "ine of Credit

B !er; "oan

Requeted Term of LoanB *1siness )o;e E:1ity

B Co;;ercial eal Estate

(pecific Loan Purpoe5Chec< all that apply8

B /oristing "oan or %ebts

)o**atera* A-ai*a,*e6 5Chec< all that apply8

B All Assets 5acco1nts receivable+ inventory+ ;achinery and e:1ip;ent8

B Specific E:1ip;ent 5Please attach e:1ip;ent list+ incl1ding serial n1;bers or description of

e:1ip;ent+ and invoices for new e:1ip;ent.8

B eal Estate 5Please attach property address+ legal description and a copy of ;ost recent ta> bill.8

S:1are ,eet Acres

B Cash on %eposit at 5na;e of ban

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Copyright Envision Corporation. 2002. All rights reserved. Protected by the copyright laws of the United States & Canada and by international treaties. ! S ""E#A" A$%S!C!"' P()*!E% !( %S!*U!E+ PU*"S)+ (,,E ,( SA"E+ "CE$SE ( SU*"CE$SE+ #-E ( %SC"(SE !( A$' (!)E PA!'+ !)S P(%UC! $)A% C(P' ( %#!A" ,(. A"" (,,E$%ES /"" *E SUE% $ A C(U! (, "A/.

B2(INE(( BA)K&RO2ND IN"OR$ATION

Please provide a brief history of yo1r b1siness+ f1t1re plans and proHections+ and describe yo1rprod1cts and=or services and co;petition.

PER(ONAL B2(INE(( E7PERIEN)E

f yo1 have been in yo1r present b1siness for 1nder f ive years+ please describe yo1r previo1sb1siness e>perience. 5ncl1de b1siness bacperience+ and training+ orincl1de a res1;e.8

$I()ELLANEO2( IN"OR$ATION

Are ta> liabilities c1rrentI B 'es B $o Settled thro1gh

s the b1siness an endorser+ g1arantor+ or co6;a

8/13/2019 Bank Loan Application Form and Checklist

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Copyright Envision Corporation. 2002. All rights reserved. Protected by the copyright laws of the United States & Canada and by international treaties. ! S ""E#A" A$%S!C!"' P()*!E% !( %S!*U!E+ PU*"S)+ (,,E ,( SA"E+ "CE$SE ( SU*"CE$SE+ #-E ( %SC"(SE !( A$' (!)E PA!'+ !)S P(%UC! $)A% C(P' ( %#!A" ,(. A"" (,,E$%ES /"" *E SUE% $ A C(U! (, "A/.

)ERTI"I)ATION

!he 1ndersigned certifies that+ to the best of his or her a;inations+ appraisals+ etc.+ perfor;ed by non6*an< personnel with the consent of theapplicant. !he 1ndersigned a1thoriJes the *an< to contact any ban< and trade creditors it dee;snecessary witho1t f1rther notice+ incl1ding+ b1t not li;ited to+ %1nn & *radstreet reports orinfor;ation fro; !/ Credit %ata.

*1siness $a;e5print8@

Applicant Signat1re@ %ate@

Applicant !itle@

#1arantor5s8Signat1re@

%ate@

#1arantor5s8Signat1re@

%ate@

*US$ESS "(A$ APP"CA!($ C)ECK"S!

P*eae ,e ure a** of t%e fo**o!in# documentation %a ,een inc*uded in order for your,uine *oan app*ication to ,e proceed.

B *1siness "oan Application

B Acco1ntant6Prepared *1siness ,inancial State;ents 5Profit and "oss+ *alance Sheet8for the past three f iscal years

B *1siness ,ederal !a> et1rns for past three fiscal years

B nteri; ,inancial State;ents 5if available8

B ost ecent ,ederal !a> et1rns for each principal owner listed in the first section ofthe *1siness "oan Application

B Personal ,inancial State;ent

B (rganiJational Papers 5Articles+ dba papers+ etc.8

B (!)E@