Commercial Lending - Commercial Loan Application

If residing at present address for less than seven (7) years, complete the following:

If employed in current position for less than two (2) years, complete the following:

If you answer "yes" to any questions 1 through 6, use Continuation Sheet for explanations.

This Statement and any applicable supporting schedules may be completed jointly by both married and unmarried Co-Borrowers if their assets and liabilities are sufficiently joined so that the Statement can be meaningfully and fairly presented on a combined basis; otherwise, separate Statements and Schedules are required. If the Co-Borrower section was completed about a non-applicant spouce or other person, this Statement and supporting schedules must be completed by that spouce or other person also.
Completed Jointly Not Jointly

List any additional names under which credit has previously been received and indicate appropriate creditor name(s) and account number(s):

If you answer "Yes" to any questions, use Continuation Sheet for explanations.

In order to be considered for a commercial loan approval, the following documents are required.

I/We authorize and/or assigns to make inquiries as necessary to verify the accuracy of the statements made in this application and to determine my/our creditworthiness. I/We authorize and instruct any person or consumer reporting agency to compile and furnish any information it may have or obtain in response to such credit inquiries. I/We certify the above and the statements contained in the attachments are true and accurate as of the stated date. These statements are made for the purposes of obtaining a loan. I/We understand FALSE statements may result in possible prosecution by the U.S. Attorney General (Reference 18 U.S.C. 1001). I/We authorize the release of this information whether the signature below is an original or copy.

The following information is requested by the Federal Government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing and home mortgage diclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may not discriminate either on the basis of this information, or on whether you choose to furnish it. If you fumish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual observation and surname if you have made this application in person. If you do not wish to furnish the information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to whcih the lender is subject under applicable state law for the particular type of loan applied for.)