Commercial Loan Application

* Indicates Required Fields

Loan / Property Information

Type of Loan:
Requested Fixed Rate Term:
Requested Amortization:
When do you need the loan?:*
Desired Loan Amount: ($)*
What type of property?
Address
City
State
Zip

Contact Information

First Name *
Last Name *
Email Address *
Address
City
State
Zip
Day Phone *
Evening Phone

Business Information

Full Name of Business *
Telephone *
Fax *
Address
City
State
Zip
Kind of Business
Year Established
Number of Employees

Owners

Owner/Partner/Corp
Title
% of Shares Owned
% of Partnership
Capital Invested
Owner/Partner/Corp
Title
% of Shares Owned
% of Partnership
Capital Invested
Owner/Partner/Corp
Title
% of Shares Owned
% of Partnership
Capital Invested

Trade / Credit References

Name
Address
City
State
Zip
Telephone
Name
Address
City
State
Zip
Telephone
Name
Address
City
State
Zip
Telephone
Please describe the purpose of your loan:
How did you hear about us?