Finance Application Package

FINANCE APPLICATION PACKAGE

Date of Application:

Applicant Identification

Individual    Sole Proprietorship    Partnership    Corporation    LLC    Other:

Ownership / Principals

Provide owners or executive principals with 20% or greater ownership.

Requested Financing

Requested Closing Date:

Financial Summary

Collateral

Credit and Legal

Has the applicant or any principal declared bankruptcy in the past seven (7) years?   Yes   No

Is the applicant or any principal a party to pending litigation or administrative proceedings?   Yes   No

Documentation Checklist

Please attach or indicate documents provided with this application:

Most recent 2 years of business tax returns

Most recent 2 years of personal tax returns (for principals)

Latest interim financial statements (balance sheet, P&L)

Last 3 months of business bank statements

Government-issued photo ID for principals

Certifications, Authorizations and Notices

By signing below, Applicant certifies that all information provided in this Finance Application Package and any supporting documents is true, complete and correct to the best of Applicant's knowledge. Applicant acknowledges that any intentional or negligent misrepresentation of information may result in denial of credit, rescission of any credit approved, or civil or criminal penalties under applicable law.

Applicant authorizes the lender, its affiliates and agents to investigate and verify the information provided, to obtain consumer and commercial credit reports, tax transcripts and bank and trade references, and to disclose application and performance information to credit reporting agencies and guarantors. This authorization shall survive the closing of any credit transaction and remains effective until revoked in writing.

Applicant understands that submission of this application does not constitute an approval or commitment to lend. Any commitment to lend will be subject to satisfactory credit approval, execution of definitive loan documents and any required collateral documentation. Applicant agrees to promptly notify lender of any material change in financial condition or ownership prior to closing.

Applicant acknowledges receipt of and consents to the use and disclosure of personal and business information for underwriting and servicing as permitted by applicable privacy and consumer reporting laws. Applicant further acknowledges that lender may obtain and rely upon third-party verifications in making credit decisions.

Representations and Warranties

Applicant represents that no person or entity other than those disclosed herein has an ownership interest in the business; the business is in good standing in its jurisdiction of formation; and there are no undisclosed material liabilities. Applicant agrees to provide additional documentation upon request to substantiate any representation made in this application.

Applicant consents to electronic communication regarding this application and any related documents. Applicant understands that certain fees, including but not limited to application fees, appraisal fees, and third-party verification fees, may be charged in connection with underwriting and processing; Applicant will be notified of any non-refundable fees prior to collection.

Acknowledgment

I certify under penalty of law that the information provided in this Finance Application Package is true and correct. I understand that lender will rely on this information in determining whether to extend credit. I authorize lender to verify any information contained in this application and to obtain credit reports and references as necessary.

Sign Now