Business Loan Application - Liberty Bell Bank
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4Business Loan Application
Full Legal Name
Trading As
.
Address
.
Telephone
Fax No.
E Mail
.
How Organized_(corporation, partnership, LLC, etc.)
.
Year Started in Business
Tax ID Number__________________________
Ownership
Name
Title
Years There
% Owned
.
Name
Title
Years There
% Owned
.
Name
Title
Years There
% Owned
.
Nature of Business
Describe Business
.
No. of Employees
.
Years at Present Location
( ) Own
( ) Lease
.
Accountant
Phone No. (
)
.
Insurance Agent
Phone No. (
)
.
Attorney
Phone No. (
)
.
Banking
Name of Bank
Years There
.
Services Provided
.
Credit and Loans
Name of Creditor
Loan Purpose
Original Amt
Amt Owing Now
Mo. Pmt
Collateral
_____________________________________________$______________$_________________$_____________________________
_____________________________________________$______________$_________________$_____________________________
_____________________________________________$______________$_________________$_____________________________
_____________________________________________$______________$_________________$_____________________________
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2099 Route 70 East, Cherry Hill, NJ 08003 <> Phone (856) 830-1165 <> Fax (866) 218-6452
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Parent category: Business