Business Loan Application Form Page 2

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LOAN REQUIREMENTS
Total Project Cost
P
Amount of Loan Being Requested
P
Loan Purpose
Loan Terms
( ) Working capital
P
Repayment term (years) _________
(inventory and receivables)
( ) Purchase of equipment
P
Repayment mode
( ) Building construction/renovation
P
( ) monthly
( ) Purchase of lot
P
( ) quarterly
( ) others ______________
Total
P
Available Collateral
Specific equipment
(please attach equipment list with serial numbers and/or description)
Real estate (please attach property address, description, copy of land title and latest OR
of real estate tax paid)
Other Assets (includes Personal Assets described in Personal Financial Statements and may also include
cash in bank, shares of stocks, bonds among others)
Guarantor*
(if any)
Name
Address
* For incorporated borrowers, guarantees of owner(s) is required unless there is other sufficient security.
REFERENCES
Depository Bank
Name of Bank
Branch
Type of Deposit
Contact Person
Contact No.
Creditor
Name of Bank/Creditor
Branch
Type of Loan
Contact Person
Contact No.
(Please use additional sheet if necessary)
CERTIFICATION
The undersigned certifies that to the best of his/her/their knowledge and belief, all information contained in
this loan application and in the accompanying statements and documents are true, complete and correct. The
undersigned agree(s) to notify immediately the government financial institution (GFI) concerned of any material
change(s) in this application form.
Likewise, we authorize the GFI concerned to contact any bank, creditor, and/or trade partners as it deems
necessary without further notice, including but not limited to available credit rating agency of the government
and/or the private sector.
Borrower's Signature over Printed Name
Co-Borrower's Signature over Printed Name
Note:
Any misrepresentation or non-declaration of relevant information will be a ground for denial of loan application.
Business Loan Application Form
Page 2

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