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Form preview Sba 504 loan application check... SBA 504 LOAN Application Checklist The following items must be submitted to complete the application* Use attached forms where indicated* Sign and date all information* If documents are not applicable note N/A over the checkbox. 1. r U*S* Small Business Administration Application for Section 504 Loan PART C. Form is attached* Please read answer questions on last page and execute. All owners and guarantors must sign and date. Please sign and date. 2. r Application for SBA 504 Loan* Form attached* Please sign and date. 3. r SBA Form 912 Personal History Statement. For all persons owning 20 or more of the business. Form attached* Please sign and date. 4. r Personal Financial Statement. For all persons owning 20 or more of the borrowing company or the operating company. Form attached* Must be dated within 90 days. Please sign and date. 5. r Personal Tax Returns for the past 1 year for every individual providing personal financial statements. 6. r Resume on owners and management. Form attached* Please sign and date. 7. r Current financial statement not over 60 days old. Include balance sheet and profit and loss for both operating and borrowing company. Also must include aging of accounts receivable and payable for the same date as the current financial statement. Please sign and date. 8. r Two years past tax returns for the operating company and borrowing company. 9. r Two years projected Profit and Loss Statement including narrative of how the projections were determined* Please sign and date. 10. r A month-by-month cash flow for next 12 months corresponding with above projections. Required for new businesses only. Please sign and date. 11. r List of existing business debts for the borrowing company and the operating company. Form attached* Please sign and date. 12. r Notice of any previous government financing. Form attached* Please sign and date. 13. r Financial information including the last two years and a current statement on any business of which the borrowers own more than 20. This must be provided if applicable. Please sign and date. 14. r Franchise information required is based upon established certification by the SBA. RMI will provide additional requirements as needed* 15. r Project Cost Documentation* Purchase agreement settlement sheet contractors bid on construction and list of equipment to be purchased and cost. Please sign and date. 16. r Bank Commitment letter. Sample attached* Please sign and date. 17. r IRS Transcript Form will be provided* NOTE A deposit is required against the processing fee PRIOR to the loan being submitted to SBA. The deposit is I of the SBA portion of the loan or 2 500 whichever is less. It will be returned if the loan is not approved and is refunded when the debenture sells on approved loans. Additional information on the deposit will be provided at a later date. U*S* SMALL BUSINESS ADMINISTRATION PART C Statements Required by Law and Executive Order Federal executive agencies including the Small Business Administration SBA are required to withhold or limit financial assistance to impose special conditions on approved loans to provide special notices to applicants or borrowers and to require special reports and data from borrowers in order to comply with legislation passed by the Congress and Executive Orders issued by the President and by the provisions of various inter-agency agreements. SBA has issued regulations and procedures that implement these laws and executive orders and they are contained in Parts 112 113 116 and 117 Title 13 Code of Federal Regulations Chapter 1 or Standard Operating Procedures. Freedom of Information Act 5 U*S*C. 552 This law provides with some exceptions that SBA must supply information reflected in agency files and records to a person requesting it. Information about approved loans that will be automatically released includes among other things statistics on our loan programs individual borrowers are not identified in the statistics and other information such as the names of the borrowers and their officers directors stockholders or partners the collateral pledged to secure the loan the amount of the loan its purpose in general terms and the maturity. Proprietary data on a borrower would not routinely be made available to third parties. All requests under this Act are to be addressed to the nearest SBA office and be identified as a Freedom of Information request. Privacy Act 5 U*S*C. 552a A person can request to see or get copies of any personal information that SBA has in his or her file when that file is retrieved by individual identifiers such as name or social security numbers. Requests for information about another party may be denied unless SBA has the written permission of the individual to release the information to the requestor or unless the information is subject to disclosure under the Freedom of Information Act. Under the provisions of the Privacy Act you are not required to provide your social security number. Failure to provide your social security number may not affect any right benefit or privilege to which you are entitled* Disclosures of name and other personal identifiers are however required for a benefit as SBA requires an individual seeking assistance from SBA to provide it with sufficient information for it to make a character determination* In determining whether an individual is of good character SBA considers the person s integrity candor and disposition toward criminal actions. In making loans pursuant to section 7 a 6 of the Small Business Act the Act 15 USC Section 636 a 6 SBA is required to have reasonable assurance that the loan is of sound value and will be repaid or that it is in the best interest of the Government to grant the assistance requested* Additionally SBA is specifically authorized to verify your criminal history or lack thereof pursuant to section 7 a 1 B 15 USC Section 636 a 1 B. Further for all forms of assistance SBA is authorized to make all investigations necessary to ensure that a person has not engaged in acts that violate or will violate the Act or the Small Business Investment Act 15 USC Sections 634 b 11 and 687 b a. For these purposes you are asked to voluntarily provide your social security number to assist SBA in making a character determination and to distinguish you from other individuals with the same or similar name or other personal identifier. The Privacy Act authorizes SBA to make certain routine uses of information protected by that Act. One such routine use for SBA s loan system of records is that when this information indicates a violation or potential violation of law whether civil criminal or administrative in nature SBA may refer it to the appropriate agency whether Federal State local or foreign charged with responsibility for or otherwise involved in investigation prosecution enforcement or prevention of such violations. Another routine use of personal information is to assist in obtaining credit bureau reports including business credit reports on the small business borrower and consumer credit reports and scores on the principals of the small business and guarantors on the loan for purposes of originating servicing and liquidating small business loans and for purposes of routine periodic loan portfolio management and lender monitoring. See SBA-21 Loan System at 74 FR 14890 April 1 2009 as amended by notices published at 77 FR 15835 3/16/2012 and 77 FR 61467 10/9/2012 for additional background and other routine uses. Right to Financial Privacy Act of 1978 12 U*S*C. 3401 This is notice to you as required by the Right of Financial Privacy Act of 1978 of SBA s access rights to financial records held by financial institutions that are or have been doing business with you or your business including any financial institutions participating in a loan or loan guarantee. The law provides that SBA shall have a right of access to your financial records in connection with its consideration or administration of assistance to you in the form of a Government loan or loan guaranty agreement. SBA is required to provide a certificate of its compliance with the Act to a financial institution in connection with its first request for access to your financial records after which no further certification is required for subsequent accesses. The law also provides that SBA s access rights continue for the term of any approved loan or loan guaranty agreement. No further notice to you of SBA s access rights is required during the term of any such agreement. The law also authorizes SBA to transfer to another Government authority any financial records included in an application for a loan or concerning an approved loan or loan guarantee as necessary to process service or foreclose on a loan or loan guarantee or to collect on a defaulted loan or loan guarantee. No other transfer of your financial records to another Government authority will be permitted by SBA except as required or permitted by law. Flood Disaster Protection Act 42 U*S*C. 4011 Regulations have been issued by the Federal Insurance Administration FIA and by SBA implementing this Act and its amendments. These regulations prohibit SBA from making certain loans in an FIA designated floodplain unless Federal flood insurance is purchased as a SBA Form 1244 2-14 Previous edition is obsolete -8- condition of the loan* Failure to maintain the required level of flood insurance makes the applicant ineligible for any future financial assistance from SBA under any program including disaster assistance. Executive Orders -- Floodplain Management and Wetland Protection 42 F*R* 26951 and 42 F*R* 26961 The SBA discourages any settlement in or development of a floodplain or a wetland. This statement is to notify all SBA loan applicants that such actions are hazardous to both life and property and should be avoided* The additional cost of flood preventive construction must be considered in addition to the possible loss of all assets and investments in future floods. Occupational Safety and Health Act 15 U*S*C. 651 et seq. This legislation authorizes the Occupational Safety and Health Administration in the Department of Labor to require businesses to modify facilities and procedures to protect employees or pay penalty fees. In some instances the business can be forced to cease operations or be prevented from starting operations in a new facility. Therefore in some instances SBA may require additional information from an applicant to determine whether the business will be in compliance with OSHA regulations and allowed to operate its facility after the loan is approved and disbursed* Signing this form as borrower is a certification that the OSA requirements that apply to the borrower s business have been determined and the borrower to the best of its knowledge is in compliance. Civil Rights Legislation All businesses receiving SBA financial assistance must agree not to discriminate in any business practice including employment practices and services to the public on the basis of categories cited in 13 C. F*R* Parts 112 113 and 117 of SBA Regulations. This includes making their goods and services available to handicapped clients or customers. All business borrowers will be required to display the Equal Employment Opportunity Poster prescribed by SBA. Equal Credit Opportunity Act 15 U*S*C. 1691 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 or age provided that the applicant has the capacity to enter into a binding contract because all or part of the applicant s income derives from any public assistance program or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The Federal agency that administers compliance with this law concerning this creditor is the Federal Trade Commission Equal Credit Opportunity Washington D*C* 20580. The Executive Order charges SBA with administering its loan programs in a manner that will result in effective enforcement of the Clean Air Act the Federal Water Pollution Act and other environmental protection legislation* SBA must therefore impose conditions on some loans. By acknowledging receipt of this form and presenting the application the principals of all small businesses borrowing 100 000 or more in direct funds stipulate to the following That any facility used or to be used by the subject firm is not cited on the EPA list of Violating Facilities. That subject firm will comply with all the requirements of Section 114 of the Clean Air Act 42 U*S*C. 7414 and Section 308 of the Water Act 33 U*S*C 1318 relating to inspection monitoring entry reports and information as well as all other requirements specified in Section 114 and Section 308 of the respective Acts and all regulations and guidelines issued thereunder. Indicating that a facility utilized or to be utilized by subject firm is under consideration to be listed on the EPA List of Violating Facilities. Debt Collection Act of 1982 Deficit Reduction Act of 1984 31 U*S*C. 3701 et seq. and other titles These laws require SBA to aggressively collect any loan payments which become delinquent. SBA must obtain your taxpayer identification number when you apply for a loan* If you receive a loan and do not make payments as they come due SBA may take one or more of the following actions - Report the status of your loan s to credit bureaus - Hire a collection agency to collect your loan - Offset your income tax refund or other amounts due to you from the Federal Government - Suspend or debar you or your company from doing business with the Federal Government - Refer your loan to the Department of Justice or other attorneys for litigation - Foreclose on collateral or take other action permitted in the loan instruments. Immigration and Nationality Act 8 U*S*C. 1101 et seq. as amended If you are an alien who was in this country illegally since before January 1 1982 you may have been granted lawful temporary resident status by the United States Citizenship and Immigration Services pursuant to the Immigration Reform and Control Act of 1986 Pub. L* 99603. For five years from the date you are granted such status you are not eligible for financial assistance from the SBA in the form of a loan or guaranty under section 7 a of the Small Business Act unless you are disabled or a Cuban or Haitian entrant. When you sign this document you are making the certification that the Immigration Reform and Control Act of 1986 does not apply to you or if it does apply more than five years have elapsed since you have been granted lawful temporary resident status pursuant to such 1986 legislation* Lead-Based Paint Poisoning Prevention Act 42 U*S*C. 4821 et seq. Borrowers using SBA funds for the construction or rehabilitation of a residential structure are prohibited from using lead-based paint as defined in SBA regulations on all interior surfaces whether accessible or not and exterior surfaces such as stairs decks porches railings -9- windows and doors which are readily accessible to children under 7 years of age. A residential structure is any home apartment hotel motel orphanage boarding school dormitory day care center extended care facility college or other school housing hospital group practice or community facility and all other residential or institutional structures where persons reside. The prospective lower tier participant certifies by submission of this loan application that neither it nor its principals are presently debarred suspended proposed for debarment declared ineligible or voluntarily excluded from participation in this transaction by any Federal department or agency. Where the prospective lower tier participant is unable to certify to any of the statements in this certification such prospective participants shall attach an explanation to the loan application* Applicant Notifications I or any of the officers of my company have/ If so I have attached copies of the proceedings. I or my business is/ have not been involved in bankruptcy or insolvency proceedings. is not involved in any pending lawsuits. If so I have attached a description* Applicant s Acknowledgment My signature acknowledges receipt of these Statements Required by Laws and Executive Orders that I have read it and that I have a copy for my files. My signature represents my agreement to comply with the requirements SBA makes in connection with the approval of my loan request and to comply whenever applicable with the limitations contained in these Statements. Certification as to Application Accuracy Criminal Penalties for False Statements The undersigned certifies that all information provided to the CDC and that all information in this application including exhibits whether submitted contemporaneously with this application or at a later date is true and complete to the best of his or her knowledge and is submitted to the CDC and to SBA so that SBA can decide whether to approve this application* purpose of influencing in any way the action of the SBA under the Small Business Investment Act as amended may be punished by a fine of not more than 1 000 000 or by imprisonment for up to 30 years or both pursuant to 18 U*S*C. 1014. The undersigned further acknowledges that in connection with a 504 loan submission of any false statement to the CDC or SBA or submission of any record to the CDC or SBA omitting material information can result in civil money penalties and additional monetary liability up to three times the amount of damages which the Government sustains because of the false statement under the False Claims Act 31 U*S*C. 3729. Each Proprietor each General Partner each Limited Partner or Stockholder owning 20 or more and each Guarantor must sign* Each person should only sign once. If Applicant is a proprietor or partnership sign below Name of Business Corporate Name By Date Attested by Additional Proprietors Partners Stockholders or Guarantors as required* Signature seal if required SBA 504 Loan Application www. Rmiinc*org OPERATING COMPANY INFORMATION Company Name Address City State Name Of Principal In Charge Zip Telephone Type of Business Email Date Established DUNS Taxpayer ID Number required Type of Entity check one Corporation Owners/Members Partnership Owned Proprietorship Trust LLC Title PROJECT INFORMATION Street Address Of Project County BORROWING ENTITY IF DIFFERENT FROM OPERATING COMPANY Name Of Borrower Taxpayer ID To register for DUNS visit this website http //fedgov*dnb. Com/webform MANAGEMENT RESPONSIBILITIES Information on those individuals owners and non-owners who will be responsible for the day-to-day operations of the company Name Responsibilities Who will hold the title to the land Give a brief description of your business. HISTORY NATURE OF YOUR BUSINESS 1. When was your business established and by whom 2. When did you gain control of the business 3. What products or services do you sell Please enclose any catalogs or brochures 4. What is your geographic market area 5. How do you market your product or service i*e* type of advertising direct mail outside salesmen etc* 6A. What is the size sq. ft. of your current facility 6B. When does your present lease expire 6C. What is the present lease amount 7. Do any owners who own 20 or more of the operating or borrowing entity also own 20 or more of any other business Yes No If yes list companies on the back of this page. List ownership interest in those other companies. You must provide financial statements for all companies listed* EXPECTED BENEFITS FROM THE LOAN 1. What will be the size sq. ft. of your new or enlarged facility 2. How will this new or remodeled facility help your business Increase revenues add new products/services improve efficiency etc* Please be specific* 3. If you are moving to a new location how will this affect your business EMPLOYEE QUESTIONNAIRE Number of existing employees The number of new employees anticipated as a result of this project within the next two years Number of New Employees Job Type BUILDING SIZE AND OCCUPANTS 1. What is the square footage of the building you will occupy 2. Are there any existing tenants that will remain in the building This does not include lease between your real estate holding company and the operating company. If you answered yes above complete the information below. Tenant Square Footage Lease Expires Lease Income Yes I/We authorize the release to RMI of any information they may require at any time for any purpose related to my/our credit transaction with them* By checking the Yes box above and submitting this form I/We further authorize RMI to release such information to any entity they deem necessary for any purpose I/We authorize RMI to obtain a credit report on me/us through the credit reporting agency of its choice as well as to answer questions others may ask about my/our record with RMI. I/We understand that I/we must update credit and financial information as requested if my/our financial condition changes. I/We certify that the above information including any attachments or exhibits provided herewith in or at a later date is valid and correct to the best of my/our knowledge. RMI 3324 Emerald Lane Jefferson City MO 65109 PROJECTIONS Please attach narrative explaining basis for figures. YEAR Gross Receipts Merchandise Cost COGS Gross Profit EXPENSES Officer s Salaries Employee s Wages Accounting Legal Fees Advertising Rent Depreciation Supplies Electricity Interest Repairs Taxes Insurance Bad Debts Miscellaneous Total Expenses Net Profit If sum is large please itemize. I certify that the above data fairly represents the financial situation to the best of my knowledge. SCHEDULE OF DEBT Creditor Name Address Original Amount LINE OF CREDIT INFORMATION Present Balance Rate Maturity Monthly Payment Collateral PREVIOUS GOVERNMENT FINANCING NAME OF AGENCY AMOUNT DATE OF REQUEST APPROVED OR DECLINED STATUS Include all government financing i*e* student loans USDA loans FHA loans CDBG etc* This form needs to be filled out by each owner of the borrowing entity operating entity and any affiliate companies. AFFILIATE INFORMATION Please provide the names of affiliated affiliation occurs with ownership or management control or subsidiary businesses. NAME OF AFFILIATED COMPANY PERCENTAGE OF OWNERSHIP on each company listed above. PROJECT COST AND COST DOCUMENTATION USE OF PROCEEDS SUPPORTING DOCUMENTS L and Acquisition and Improvements P urchase and/or Remodel Bldg. New Construction Purchase Machinery/Equipment Purchase Furniture/Fixtures Professional Fees Closing Costs Contingencies TOTAL SOURCE OF YOUR EQUITY INJECTION Cash Project Land Cost Other NOTE If you are borrowing any of your injection for this project please answer the following questions. 1. What is the amount to be borrowed 2. Who are you borrowing it from 3. What is the Interest Rate and length of the note for this transaction 4. What is the collateral to secure this transaction Sample Bank Letter Dear I am pleased to inform you that this bank has reviewed your loan application and is willing to offer financing for the purchase of land and construction of a new building located at Missouri. This loan approval is contingent upon RMI participating in the permanent financing of this project under the Small Business Administration SBA 504 Loan Program due to Pick one or more of the following options 1 Repayment capability requires a maturity period that exceeds bank s policy 2 Bank s legal lending limit would be exceeded 3 Bank s liquidity is insufficient without proceeds of a secondary market sale of the loan which is made possible by participation with SBA 4 Uniqueness or value of available collateral is unacceptable to the bank 5 Risk associated with the start-up nature of the business exceeds the bank s normal policy. We are pleased to offer the following to Term Interest Rate Guarantors The bank agrees not to allow future advances except advances made for the reasonable costs of collection maintenance and protection of the bank s lien be cross-collateralized with other financing provided by the bank have an early call feature be payable on demand unless the bank s note is in default have a term of less than or require a balloon payment prior to seven years if 10 year debenture or 10 years if 20 year debenture. The interim financing of of the total project cost will be fully provided by this bank. The interim loan will be for a period of not more than one year at Prime plus. Sincerely Cc RMI NOTICE D-U-N-S Numbers In May 2014 the U*S* Small Business Administration requires you to obtain a Dun Bradstreet your business. D-U-N-S Number assignment is free for all businesses required to register with the federal government for contracts or grants. What do I need to get my D-U-N-S Number When registering for your D-U-N-S Number you will need the following on hand Legal name Headquarters name and address for your business Doing Business As DBA or other name by which your business is commonly recognized Physical address city state and ZIP Code Mailing address if separate from headquarters and/or physical address Telephone number Contact name and title Number of employees at your physical location Whether you are a Home-Based Business How do I get my D-U-N-S Number Good news Getting your D-U-N-S Number is easy.
Form preview Mini mortgage loan application... Fax 281-500-4067 Short Form Mortgage Application Mini-1003 Page 1 of 2 DATE TIME LOAN OFFICER PURPOSE OF LOAN REFINANCE PURCHASE CONSTRUCTION EQUITY LINE PRIMARY BORROWER DOB //19 SSN -- PHONE H - PHONE W - PHONE C - CO-BORROWER DOB //19 CURRENT ADDRESS House No. Street City State Zip FOR PURCHASE LISTED HOME HOME TYPE SINGLE FAMILY DUPLEX MULTIPLEX TOWNHOME CONDO EST. MARKET VALUE HOME ADDRESS Y CASH OUT Y / N N AMOUNT REASON S FOR CASH YEAR PURCHASED YEAR BUILT ORIGINAL COST HOW LONG IN HOME ESCROW Y / NN MORTGAGE INS Y / N N AMT PER MO CURRENT MORTGAGE HOLDER MTG TYPE INTEREST RATE 0. 00 TERM YRS LEFT BALANCE MO PMT 2ND MORTGAGE/LINE OF CREDIT HOLDER MTG TYPE INTEREST RATE TERM YRS LEFT BALANCE MO PMT EMPLOYMENT HISTORY BORROWER EMPLOYER NAME EMPLOYER ADDRESS POSITION/TITLE YRS ON JOB YR GROSS INCOME MO / YR MO PAID ON W-2 SELF EMPL PREVIOUS EMPLOYER/PART TIME EMPLOYMENT INFO MO YR REVOLVING DEBT/MONTHLY OBLIGATIONS Majority of this information will be obtained via the credit report. DO YOU PAY CHILD SUPPORT OR ALIMONY Y / N N AMOUNT/MO REAL ESTATE TAXES Y / N N YEARLY MO IF KNOWN HOME INSURANCE CREDIT HISTORY Y / N N EXCELLENT AGREE TO CREDIT CHECK Y / NN GOOD AVERAGE HAVE YOU HAD ANY LATE PAYMENTS ON YOUR MORTGAGE PAST 12 MO CHALLENGED SCORE Y Y NN / DESCRIBE CREDIT ISSUES JUDGEMENTS BANKRUPTCY COLLECTIONS ASSETS CASH IN BANK ACCOUNTS include savings checking INVESTMENTS including 401K brokerage accounts stocks bonds Etc PROPERTY including rental units cabins 2nd homes land NOTES. MARKET VALUE HOME ADDRESS Y CASH OUT Y / N N AMOUNT REASON S FOR CASH YEAR PURCHASED YEAR BUILT ORIGINAL COST HOW LONG IN HOME ESCROW Y / NN MORTGAGE INS Y / N N AMT PER MO CURRENT MORTGAGE HOLDER MTG TYPE INTEREST RATE 0. 00 TERM YRS LEFT BALANCE MO PMT 2ND MORTGAGE/LINE OF CREDIT HOLDER MTG TYPE INTEREST RATE TERM YRS LEFT BALANCE MO PMT EMPLOYMENT HISTORY BORROWER EMPLOYER NAME EMPLOYER ADDRESS POSITION/TITLE YRS ON JOB YR GROSS INCOME MO / YR MO PAID ON W-2 SELF EMPL PREVIOUS EMPLOYER/PART TIME EMPLOYMENT INFO MO YR REVOLVING DEBT/MONTHLY OBLIGATIONS Majority of this information will be obtained via the credit report. 00 TERM YRS LEFT BALANCE MO PMT 2ND MORTGAGE/LINE OF CREDIT HOLDER MTG TYPE INTEREST RATE TERM YRS LEFT BALANCE MO PMT EMPLOYMENT HISTORY BORROWER EMPLOYER NAME EMPLOYER ADDRESS POSITION/TITLE YRS ON JOB YR GROSS INCOME MO / YR MO PAID ON W-2 SELF EMPL PREVIOUS EMPLOYER/PART TIME EMPLOYMENT INFO MO YR REVOLVING DEBT/MONTHLY OBLIGATIONS Majority of this information will be obtained via the credit report. DO YOU PAY CHILD SUPPORT OR ALIMONY Y / N N AMOUNT/MO REAL ESTATE TAXES Y / N N YEARLY MO IF KNOWN HOME INSURANCE CREDIT HISTORY Y / N N EXCELLENT AGREE TO CREDIT CHECK Y / NN GOOD AVERAGE HAVE YOU HAD ANY LATE PAYMENTS ON YOUR MORTGAGE PAST 12 MO CHALLENGED SCORE Y Y NN / DESCRIBE CREDIT ISSUES JUDGEMENTS BANKRUPTCY COLLECTIONS ASSETS CASH IN BANK ACCOUNTS include savings checking INVESTMENTS including 401K brokerage accounts stocks bonds Etc PROPERTY including rental units cabins 2nd homes land NOTES.
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