Commercial Loan Application - Peoples Bank

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COMMERCIAL LOAN APPLICATION
Important Information About Procedures For Opening a New Account
To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain, verify, and record
information that identifies each person who opens an account. What this means for you: When you open an account, we will ask you for your name, address, date of
birth, and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents.
I. BUSINESS PROFILE
LEGAL BUSINESS NAME / BORROWING ENTITY
BUSINESS TAX I.D. NUMBER
DOING BUSINESS AS (DBA) NAME, IF ANY
EMAIL ADDRESS
BUSINESS ADDRESS
CITY, STATE, ZIP
BUSINESS PHONE NUMBER
BUSINESS FAX NUMBER
BUSINESS STRUCTURE (PLEASE CHECK ONE)
S-Corporation
C-Corporation
General Partnership
Limited Partnership
Limited Liability Partnership
Limited Liability Company
Sole Proprietorship
Not For Profit
Individual
NATURE OF BUSINESS
YEAR BUSINESS EST.
CURRENT OWNER SINCE
NUMBER OF EMPLOYEES
DOES THE BUSINESS OWN OR LEASE THE PROPERTY
ACCOUNTANT (NAME & PHONE)
OWN
LEASE
INSURANCE AGENT (NAME & PHONE)
BANK REFERENCE (NAME & PHONE)
II. LOAN REQUEST
[I/We hereby apply for the following extension of commercial credit (Check all that apply)]
DOLLAR AMOUNT OF LOAN
COLLATERAL
EST. VALUE OR PURCHASE PRICE
BUSINESS ASSETS
$
MACHINERY AND/OR EQUIPMENT
PURPOSE
RECEIVABLE GROWTH
EQUIPMENT PURCHASE
VEHICLES, TRUCKS, OR TRAILERS
INVENTORY PURCHASES
RENEWAL
REAL ESTATE / COMMERCIAL PROP
REAL ESTATE ACQUISITION/REFI
REFINANCE
REAL ESTATE / PERSONAL RESIDENCE
REAL ESTATE CONSTRUCTION
OTHER
MARKETABLE SECURITIES / CD / SAVINGS
VEHICLE PURCHASE
ACCOUNTS RECEIVABLE
INVENTORY
OTHER
LIST:
TYPE OF CREDIT
BUSINESS LINE OF CREDIT
BUSINESS INSTALLMENT LOAN
COMMERCIAL MORTGAGE
LETTER OF CREDIT
SOURCE OF REPAYMENT
III. LIST OF ALL BUSINESS DEBT
DESCRIPTION OF DEBT
ORIGINAL AMOUNT
CURRENT BALANCE
MONTHLY PAYMENT
MATURITY DATE
CREDITOR NAME
COLLATERAL
DESCRIPTION OF DEBT
ORIGINAL AMOUNT
CURRENT BALANCE
MONTHLY PAYMENT
MATURITY DATE
CREDITOR NAME
COLLATERAL
DESCRIPTION OF DEBT
ORIGINAL AMOUNT
CURRENT BALANCE
MONTHLY PAYMENT
MATURITY DATE
CREDITOR NAME
COLLATERAL
IV. LIST OF ALL BUSINESS’ BANK DEPOSIT ACCOUNTS
V. BACKGROUND INFORMATION
NAME OF BANK AND LOCATION
AMOUNT ON DEPOSIT
Has your business ever filed for bankruptcy?
YES
No
If yes, what year?
__________
Is your business a party to any claim or lawsuit?
YES
No
Is your business in arrears or in dispute of any tax payment?
YES
No
NAME OF BANK AND LOCATION
AMOUNT ON DEPOSIT
If the answer to any of these questions is “Yes”, please provide
an explanation on a separate sheet of paper.
Peoples Bank – Confidential
revised 03/2014
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