Finance Renewal Application Form

FINANCE RENEWAL APPLICATION FORM

This Finance Renewal Application Form is submitted by the Applicant to request renewal, extension, or modification of an existing financing facility. Submission of this form does not create a commitment to extend credit. Lender reserves the right to require additional documentation, verification, and execution of definitive renewal agreements. Applicant certifies that the information provided is true, complete, and accurate under penalty of law.

Applicant Information

Individual Sole Proprietor Corporation Partnership Limited Liability Company (LLC) Other:

Current Facility Details

Account / Facility Number:

Loan Type: Term Loan Revolving Credit Line of Credit Lease Other:

Renewal Request Details

Collateral and Security

Proposed Changes to Collateral: No change Add collateral Release collateral If adding or changing collateral, provide description:

Financial Summary (Most Recent Fiscal Year)

I will attach most recent financial statements: Audited Financials Compiled / Reviewed Tax Returns

Required Documentation Checklist

Please include the following documents with this application:

Most recent bank statements (3 months)
Business tax returns (2 years)
Financial statements (most recent)
Accounts receivable aging
Collateral documentation / security agreements
Corporate resolution or authorization (if applicable)
Government-issued ID for authorized signer
Other:

Terms, Representations & Authorizations

Applicant represents and warrants that all information submitted in connection with this application is true, complete and accurate. Applicant authorizes the Lender and its agents to obtain credit reports, verify employment and financial information, contact creditors and otherwise investigate the creditworthiness of the Applicant and any guarantor. Applicant agrees to provide updated information upon request and acknowledges that the Lender may require execution of definitive renewal documents containing additional covenants, conditions, and security.

Applicant agrees to pay any applicable processing fees, appraisal fees, or legal fees incurred in connection with the renewal request. Payment of fees does not obligate the Lender to approve the renewal. Applicant will indemnify and hold harmless the Lender from any claims arising from false or misleading statements in this application.

By checking the box below, Applicant certifies acceptance of the foregoing representations and consents:
I certify that I have read, understand, and accept the terms, representations and authorizations set forth above.

Processing Acknowledgement

Applicant acknowledges that processing time may vary, additional information may be required, and approval is subject to credit review and internal underwriting. Lender reserves the right to decline, conditionally approve, or offer modified renewal terms.

Authorized Representative Declaration

I, the undersigned authorized representative of the Applicant, declare under penalty of perjury that the information contained in this application and any accompanying documents is true, correct and complete to the best of my knowledge.

Processing use only: Received by (initials) Date received Assigned to:

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