Fill and Sign the Review Loan Application Form

Review of Loan Application Review of Loan Application of ___________________ (Name of Borrower) Primary Officer: ___________________ Prepared By: _______________ Loan Request $ _________________________ Borrower: ______________________ (Name of Borrower) Business Information: Form of Business (e.g., sole proprietorship, corporation, limited liability company) ____________________________  Date of Formation:____________  Type of Business:__________________________________  Names of Primary Management: _________________________________________ ____________________________  Owners :_____________________________  Names of Guarantors: _________________________________________________ ___________________________ Request: ____________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Purpose: ____________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Terms:  Type of Loan:________________________________  Amount:______________________________  Rate and Fees:_______________________  Term of Loan_________________________________  Repayment____________________________ Source of Repayment:  Primary:_______________________  Secondary:_______________________  Tertiary:________________________ Collateral Description: __________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Collateral Valuation:  Type_____________________________________________  Appraised $____________________  Value $________________________  ________% of Advance:  Accounts Receivable 75% (0-90 days)__________________  Inventory 30%_______________  Equipment 75%_______________  Marketable Securities 70%_______________ Commercial and Residential  Property 75%_______________  Vacant Land 30-50%____________  Debt______________________________________  Available Equity_____________________________  LTV_______________________________________ Flood Hazard: ________________________________________________________________ __________________________________________________________ Environmental Concerns: _______________________________________________________ __________________________________________________________ Debt:  Type__________________________________________ Open__________________________________________ High___________________________________________ Balance.________________________________________ # of REN_______________________________________ Rate___________________________________________ Terms__________________________________________ SEC____________________________________________ LTV____________________________________________ Payment History: ______________________________________________________________ ______________________________________________________________ Line of Credit Usage: Low Balance:______________ # of Days at Zero:__________ Other Debts:__________________________________________________________________ ______________________________________________________________ Depository Relationship:  Name_______________________________________  Acct #_____________________________________  Type_______________________________________  Opened_____________________________________  Balance___________ Avg. Col. Bal._____________________  Rate_______________________________________  Average Cost of Funds:_______________________________________  Trust Relationship:___________________________________________ Background Information: _________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ Financial Statements: Last three years of business financial statements and tax returns Last three years of owner's personal financial statements and tax returns Attach current personal financial statement