Business Loan Application

Juneteenth

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Business Loan Application

* - Indicates required fields

Loan Request Information

Purpose * Commercial Real Estate Loan Commercial Construction Loan Commercial Line of Credit Vehicle/Equipment Loan Other

Applicant Information

Are you applying with a Co-Applicant? *

Yes No

Management & Guarantors

Owners of 20% or more are typically required to provide a personal guarantee.

Address of Creditor 1

Original Date / Amount 1

Payment/Collateral 1

Address of Creditor 2

Original Date / Amount 2

Payment/Collateral 2

Address of Creditor 3

Original Date / Amount 3

Payment/Collateral 3

Address of Creditor 4

Original Date / Amount 4

Payment/Collateral 4

Address of Creditor 5

Original Date / Amount 5

Payment/Collateral 5

Address of Creditor 6

Original Date / Amount 6

Payment/Collateral 6

If the collateral is a 1st lien on a 1-4 family dwelling, your signature on the application acknowledges receipt of the following notice: We may order on appraisal to determine the property's value and charge you for the appraisal. We will promptly give you a copy of any appraisal, even if your loan does not close. You can pay for an additional appraisal for your own use at your own cost.

Amount of Equity Contribution

Insurance Agent Name

Insurance Agent Address

Insurance Agent Phone

1) Are all Federal, State and local taxes current, including withholding, social security, Federal and State income taxes and realestate taxes? *

Yes No

2) Has this business or any associated business of any owner or stockholder ever declared bankruptcy? *

Yes No

3) Are there any suits or legal actions pending against you or your business? *

Yes No

4) Have any of the Guarantors formed a trust? *

Yes No

5) Are all Federal income tax filings complete? *

Yes No

6) Are any tax returns being audited? *

Yes No

7) Are all contractual obligations of the business listed on the application, including contingent liabilities, property rent, leases, etc.? *

Yes No

Submit the following with your application

Personal Financial Statement of owner(s) and guarantor(s)
3 years of business tax returns (or as many as available if newer business)
3 years of personal tax returns for owners/guarantors owning 20% or more
3 years of audits, reviews or compilations (if available)
Business plan and owner/manager resume with relevant experience
2 years of revenue and expense projections
Year-to-date Balance Sheet, Profit and Loss, AR Aging, AP Aging dated within 30 days

NOTE: Additional information may be requested during underwriting.

SECURELY UPLOAD DOCS HERE

Disclosures and Certification

The information contained in this application is a request for a commercial extension of credit. Profile Bank is relying on this information in order to make a decision to grant credit or extend an existing credit relationship. The borrower(s) and/or guarantor(s) represent and certify that all information contained in this application is true, correct, and there are no other material omissions.

Borrower and/or guarantor will notify Profile Bank of any material adverse changes in the information contained in this application. Profile Bank is authorized to make any inquiries felt necessary to verify the accuracy of the information contained in the application and determine commercial creditworthiness.

Any false statements or misrepresentations contained on this application for the purpose of influencing Profile Bank in making a credit decision may be a violation of Federal law.

By signing this application, the borrower(s) agrees to pay all expenses incurred by the Bank on behalf of the borrower(s) as part of the application process.

NOTICE: The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age, public assistance income source, or because an applicant has in good faith exercised any right under the Consumer Credit Protection Act.

Signature

Title

Business Loan Application

Business Loan Application

Loan Request Information

Applicant Information

Co-Applicant Information

Management & Guarantors

Debt Schedule

Loan Collateral

Down Payment

Business Reference

Submit the following with your application

Disclosures and Certification

Signature

Co-Signer Signature

You are now leaving Profile Bank