Bank Loan Request Letter

BANK LOAN REQUEST LETTER

Date:

Recipient

Bank Name:

Branch / Loan Officer:

Branch Address:

Applicant Information

Individual Sole Proprietorship Partnership LLC Corporation Other

Loan Request Details

Requested Loan Amount: $

Requested Term: | Repayment Frequency:

Interest Type: Fixed Variable Other    Proposed Interest Rate (if known):

Requested Closing Date:

Purpose of Loan and Use of Proceeds

Collateral and Security

Will collateral be offered? Yes No

Financial Information & Attachments

Annual Revenue (most recent fiscal year): $

Balance Sheet Income Statement Tax Returns (last 2 years) Business Plan / Projections Collateral Documentation

Representations, Warranties and Certifications

The undersigned certifies that all information provided in this request and in the accompanying documentation is true, complete and correct to the best of the undersigned's knowledge. The undersigned authorizes the bank to rely upon representations made herein for purposes of initial credit assessment. The undersigned further represents and warrants that there are no unresolved defaults or material adverse changes in the financial condition of the applicant since the date of the attached financial statements except as disclosed in writing to the bank.

The applicant acknowledges that submission of this request does not obligate the bank to extend credit. Any commitment to lend will be evidenced by a separate loan agreement and security documents executed by both parties, which will set forth the bank’s terms, conditions, fees, and remedies upon default.

Authorization to Obtain Credit and Verify Information

By signing below, the applicant authorizes the bank and its agents to obtain consumer and/or commercial credit reports, to verify employment and income, to obtain bank and trade references, and to make any other inquiries the bank deems necessary to evaluate this request. The applicant authorizes third parties to release all information requested by the bank for this purpose.

Consent to obtain credit information: I consent

Fees, Expenses and Acknowledgment

The applicant acknowledges that application, appraisal, underwriting, legal and other fees may be charged during processing of this request. Payment or reimbursement of such fees will be subject to the bank’s fee schedule and any written agreement executed by the parties. The applicant agrees to pay any fees required by the bank for processing this request unless otherwise agreed in writing.

Fee acknowledgment: I acknowledge and accept potential fees and expenses as described above.

Conditions of Approval

Approval is conditioned upon the bank’s satisfactory review of credit, collateral documentation, financial statements, title and insurance matters, corporate or organizational authorizations, and any other conditions the bank reasonably requires. The bank may require additional guarantors, security interests, and covenants as a condition of lending.

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