Small Business Loan Application - Seed Page 3
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4SMALL BUSINESS LOAN APPLICATION
BUSINESS PROFILE
Business Name
Business Address
Business Telephone
Fax
E-Mail
Website_______________________ Tax ID Number
Type of Business: Sole Proprietorship
Partnership
C Corporation
S Corporation
Other
Nature of Business
Date Business Established
Annual Sales $
Number of Employees Now: Total
Full Time
Part Time
In Two Years
Years at Present Location
Own
Lease
Accountant
Telephone
Attorney
Telephone
Reference Name/Business (Supplier)
Telephone
Reference Name/Business (Client)
Telephone
Entrepreneurial Workshops: Attended SEED’s
Yes
No; Other
Yes
No
LOAN REQUEST
Loan Requested from SEED $
Purpose
Itemize Use of Funds: Working Capital $
Equipment $
Leasehold Improvements $
Other (Explain) $
Is a Bank Providing a Portion of the Financing: Yes
No
How Much?
Which Bank?
Loan Officer
Have You Been Turned Down By a Bank? Yes
No
If Yes, Which Bank?
Were You Referred to SEED By a Bank? Yes
No
If Yes, Which Bank?
If Not Referred By a Bank, by Whom?
______
Collateral for the Loan (Specify)
BUSINESS DEBTS
(Contracts, Notes and Mortgages Payable)
Original
Original
Balance
Monthly
To Whom Payable
Amount
Date
Outstanding
Payment
Collateral
Status*
* C- Current; L-Late
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Parent category: Business