Page 1 of 4
PERSONAL INCOME SOURCES
MONTHLY ANNUALLY
Borrower and Co-Borrower Gross Salary
Schedule B (Recruiting Interest and Dividends)
Schedule C (Net Profit of Proprietorships)
Schedule D (Recurring Capital Gains Less Losses)
Schedule E (Recurring Rental Income Exluding Subject Property)
Other (List)
TOTAL PERSONAL INCOME
PERSONAL CASH REQUIREMENTS
MONTHLY ANNUALLY
Residence Mortgage Payment / Rent Payment
Federal, State & Real Estate Taxes
Installment Loan Payments
Credit Card Payments
Rental Mortgage P&I Payments and Expenses (Exlude Subject Property)
Alimony/Child Support
Other (List)
TOTAL PERSONAL EXPENSES
Commercial Loan Application
PERSONAL INFORMATION
RESUME
DECLARATIONS
Borrower
Borrower’s Name DOB (mm/dd/yyyy)
Social Security Number
Borrower
Co-Borrower
E-Mail Address E-Mail Address
Present Address (street, city, state, zip)
Name and Address of Employer
Name and Address of Employer
Title/Position Type of Business
Years on this job Yrs in ProfessionBusiness Phone (incl. area code)
Title/Position Type of Business
Dates (from-to)Business Phone (incl. area code)
Name and Address of Employer
Name and Address of Employer
Title/Position Type of Business
Years on this job Yrs in ProfessionBusiness Phone (incl. area code)
Title/Position Type of Business
Dates (from-to)Business Phone (incl. area code)
Former Address (street, city, state, zip)
If residing at present address for less than seven (7) years, complete the following:
If employed in current position for less than two (2) years, complete the following:
Married Separated Unmarried (include single, divorced, widowed)
Rent $ Per Mo. No. Yrs.
Own
Yes No
Rent $ Per Mo. No. Yrs.
If you answer “yes” to any questions 1 through 6, use Continuation Sheet for explanations.
1. Are there any outstanding judgements against you?
2. Have you been declared bankrupt in the last 10 years?
3. Have you had property forclosed upon or given title or deed in lieu?
4. Are you a party to a lawsuit?
5. Are you obligated to pay alimony, child support, or separate maintenance?
6. Are any of your assets held in a trust?
7. Are you a U.S. citizen?
8. Are you a permanent resident alien? If yes please provide a copy of resident alien ID card.
Home Phone (incl. area code)
Cell Phone (incl. area code)
Co-Borrower’s Name
Co-Borrower
Yes No
Married Separated Unmarried (include single, divorced, widowed)
DOB (mm/dd/yyyy)
Social Security Number
Present Address (street, city, state, zip)
Former Address (street, city, state, zip)
OwnOwn Rent $ Per Mo. No. Yrs.
Own Rent $ Per Mo. No. Yrs.
Home Phone (incl. area code)
Cell Phone (incl. area code)
Page 2 of 4
ASSETS AND LIABILITIES
Cash deposit toward
purchase held by:
Name and address of Bank, S&L, or Credit Union
Acct. no. $
Name and address of Bank, S&L, or Credit Union
Acct. no. $
Name and address of Bank, S&L, or Credit Union
Acct. no. $
$
$
$
$
$
$
$
$
$
Stocks & Bonds (Company
name/number description)
Life insurance net cash value
Real Estate owned (enter market
value from schedule of real
estate owned)
Vested interest in retirement fund
Net worth of business(es) owned
(attach financial statement)
Automobiles owned (make & yr.)
Schedule of Real Estate Owned (if additional properties are owned, use continuation sheet)
List any additional names under which credit has previously been received and indicate appropriate creditor name(s) and account number(s):
Other Assets (itemize)
Property Address (enter S if sold, PS if pending
sale or R if rental being held for income)
Creditor Name Account NumberAlternate Name
Total Assets a.
Face amount: $
Subtotal Liquid Assets
Name and address of Company
Acct. no.
$ Payments/Months $
Name and address of Company
Acct. no.
$ Payments/Months $
Name and address of Company
Acct. no.
$ Payments/Months $
Name and address of Company
Acct. no.
$ Payments/Months $
Name and address of Company
Acct. no.
$ Payments/Months $
Name and address of Company
Alimony/Child Support/Separate
Maintenance Payments Owed to:
Job-related Expense (child care, union
dues, etc.)
Net Worth
(a minus b)
Total Monthly Payments
Total Liabilities b.
Acct. no.
Acct. no.
$ Payments/Months $
Name and address of Company
Type of
Property
Totals
Present
Market Value
Amount of
Mortgages & Liens
Gross
Rental Income
Mortgage
Payments
Net
Rental Income
Insurance,
Maintenance,
Taxes & Misc.
$ Payments/Months $
$
$
$
$
$ $ $ $ $
$ $ $ $ $
$ $ $ $ $
$ $ $ $
$
$
$
$ $
$
$
ASSETS
LIABILITIES Unpaid Balance
Monthly Payment &
Months Left to Pay
List checking and savings accounts below
Cash or
Market Value
Commercial Loan Application
Description
Borrower
Co-Borrower
Jointly Not JointlyCompleted
This Statement and any applicable supporting schedules may be completed jointly by both married and unmarried Co-Borrowers if their assets and liabilities
are sufficiently joined so that the Statement can be meaningfully and fairly presented on a combined basis; otherwise, separate Statements and Schedules
are required. If the Co-Borrower section was completed about a non-applicant spouce or other person, this Statement and supporting schedules must be
completed by that spouce or other person also.
Liabilities and Pleged Assets. List the creditor’s name, address and account number for all
outstanding debts, including automobile loans, revolving charge accounts, real estate loans,
alimony, child support, stock pledges, etc. Use continuation sheet, if necessary. Indicate by (*)
those liabilities which will be satisfied upon sale of real estate owned or upon refinancing of the
subject property.
Page 3 of 4
INFORMATION ABOUT PROPERTY TO BE FINANCED
Property Address
Construction Type (CTU, frame, block, etc.)
Purchase Money Loan
Purchase Price
Refinance Loan
Have all payments been made on time for the last 12 months?
Year Aquired
Existing Liens - Lender
Cash Out Request
Amount Requested
(If no, please explain on a separate page)
Cash out use:
Date Made Original Amount Current Balance Term Rate SBA?
Original Cost Year Improved Improvement Cost Present Value
Is there a prepayment penalty?
Seller Credits
$
Source of Down Payment
Property Type (industrial, retail, office, mixed use, etc.)
Yes No
Zoning % Occupied Now
County
# Units Building Size Lot Size Year Built
Yes No
Commercial Loan Application
VESTING OF REAL ESTATE TITLE
Loan Amount Requested
Print Exact Names of Individuals, Form of Title, or Entity
Borrower
Co-Borrower
Purpose
Purchase Refinance Refi-Cash Out
Type of Entity (select one) C-Corp S-Corp Partnership Proprietorship Other:
Business Type (select one) Retail Service Wholesale Manufacturing Construction
OWNERSHIP/OFFICERS/DIRECTORS
Name: Title: % Owned:
Name: Title: % Owned:
Name: Title: % Owned:
Name: Title: % Owned:
Name: Title: % Owned:
Name: Title: % Owned:
BUSINESS INFORMATION
Business Name
DBA:
Primary Business Address
Primary Contact Name:
Phone #:
Fax #:
Mo. Rent paid at this location: $ Sq.Ft.?
Mo/Mo?Lease Expires:
Business Tax ID #:
E-Mail Address:
Number of Employees:
Date Business Established:
Web Site:
Executive / Mailing Address, if other Sq.Ft. Mo. Rent $ Lease Expires
List Additional Business Locations Sq.Ft. Mo. Rent $ Lease Expires
Page 4 of 4
Commercial Loan Application
HISTORY
Nature of Business
Types of Products / Services as percentage of total revenue
Business revenue (Sales) trends in the last 3 years are
Explain what factors have affected your trends:
Increasing Decreasing Stable
Business profitability (Net Income) trends in the last 3 years are
Explain what factors have affected your trends:
Increasing Decreasing Stable
BUSINESS DECLARATIONS
Yes No N/A
If you answer “Yes” to any questions, use Continuation Sheet for explanations.
1. Is the business a party to a lawsuit?
2. Has the business been involved in bankruptcy proceedings in the last 10 years?
3. Does the business have deliquent federal, state, payroll, sales or other tax liability?
4. Has the business had property foreclosed upon or given title or deed in lieu?
5. If renting, have you paid rent on time for each of the last 12 months?
6. Does the business, its owners or majority stockholders have any other loans?
(If “Yes”, please provide information)
DOCUMENTS ADDITIONALY NEEDED
In order to be considered for a commercial loan approval, the following documents are required.
Fully executed purchase contract; if applicable
Tri-merge credit report.
DSCR worksheet - signed and dated.
Environmental Disclosure - signed and dated.
Structural Disclosure - signed and dated.
Rental or mortgage history. 12 months cancelled checks or bank statements evidencing payment history.
Evidence of being in business for 2 years and business license.
Photos of subject property.
ACKNOWLEDGEMENT AND AGREEMENT
Borrower’s Signature
BORROWER
Ethnicity:
I do not wish to furnish this information
Hispanic or Latino
Female Male
Not Hispanic or Latino
Race:
Sex:
To be Completed by Interviewer
American Indian or
Alaska Native
Native Hawaiian or
Other Pacific Islander
Asian
White
Black or
African American
CO-BORROWER
Ethnicity:
I do not wish to furnish this information
Hispanic or Latino
Female Male
Not Hispanic or Latino
Race:
Sex:
American Indian or
Alaska Native
Native Hawaiian or
Other Pacific Islander
Asian
White
Black or
African American
This application was taken by:
Name and Address of Interviewer’s EmployerInterviewer’s Name (print or type)
Interviewer’s Signature Date
Interviewer’s Phone Number (incl. area code)
Face-to-face interview
Mail
Telephone
Internet
Date
X X
DateCo-Borrower’s Signature
I/We authorize ________________________________________________ and/or assigns to make inquiries as necessary to verify the accuracy of the
statements made in this application and to determine my/our creditworthiness. I/We authorize and instruct any person or consumer reporting agency to
compile and furnish any information it may have or obtain in response to such credit inquiries. I/We certify the above and the statements contained in the
attachments are true and accurate as of the stated date. These statements are made for the purposes of obtaining a loan. I/We understand FALSE
statements may result in possible prosecution by the U.S. Attorney General (Reference 18 U.S.C. 1001). I/We authorize the release of this information
whether the signature below is an original or copy.
The following information is requested by the Federal Government for certain types of loans related to a dwelling in order to monitor the lender’s compliance with equal credit
opportunity, fair housing and home mortgage diclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may not
discriminate either on the basis of this information, or on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you may
check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual
observation and surname if you have made this application in person. If you do not wish to furnish the information, please check the box below. (Lender must review the above
material to assure that the disclosures satisfy all requirements to whcih the lender is subject under applicable state law for the particular type of loan applied for.)
