Small Business Loan Application
 
Contact Information
     
Name of Borrower:
Type of Borrower:
When organized/ incorporated :
Address:  
City:  
State:
ZIP:  
Phone:
Tax ID :  
Contact Person:  
Phone:  
 
Loan Information
     
Amount of
Loan Request:
Type of Loan:  
Purchase Price or Construction Cost:
Down Payment:
Term/Amortization Desired:  
Cash On Hand:
Garantor, Seller Financing:  
 
Business Description
 
 
Project Structure/ Collateral Values
     
Land & Improvements:
Owners Equity:
Construction Cost:
Seller Debt:
Machinery/Equipage:
Inventory:
Working Capital:
Other:
Existing Debts:
     
Borrower/Guarantor Financial Statement
     
Cash/Liquid Investments:
Real Estate Owned:
Other Assets:
Existing Installment Debt:
Credit Cards Outstanding:
Existing Mortgages:
Other Liabilities:
Borrowers Income/Revenues:
Borrower Ebitdar Cash Flow:
Total Debt & Lease Payments:
     
   
 
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