Commercial Loan Application

Internal Bank Loan Review

Primary Officer: Prepared By:

Date Prepared:

Loan Request

Borrower:

Business Information: Form:

Organ Date:

Type:

Management:

Ownership:

Guarantors: Typically the owner of the business

Request:

Purpose:

Terms:

Type Amount Rate/Fees Term Repayment

Source of Repayment Primary:

Secondary

Tertiary:

Collateral Description:

Collateral Valuation:

Type Appraised

Value % of

ADV

Debt Avail.

Equity LTV

Accounts Receivable 75% (0-90 days)

Inventory 30%

Equipment 75%

Marketable Securities 70%

Commercial and Residential

Property

75%

Vacant Land 30-50%

Flood Hazard:

Environmental Concerns:

Bow Debt:

Type

Open

High

Bal. # of REN

Rate

Terms

SEC

LTV

Bow 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 Statement: Last 3 years of business financial statements and/or tax returns

Last 3 years of owner’s personal tax return

Current personal financial statement

BUSINESS LOAN APPLICATION

Date:

New Relationship Branch:

Existing Relationship Officer:

BUSINESS INFORMATION

Business Name

Address

Telephone ( ) Tax I.D.

Individual Name(s)

Address

Telephone ( ) Social Security # Date of Birth:

Proprietorship Partnership Sub-Chapter S Corporation

Non-Profit Individual LLC

Ownership Distribution: (List stockholders, partners, owner names) Note: Attach separate sheet if additional space needed.

Name Title # of Years % SS#

Name Title # of Years % SS#

Name Title # of Years % SS#

Nature of Business...