LoansForBusiness.com

“Financial Solutions Since 1998

Business Loan Application

Complete Legal Name of Business______Years in Business______

Name of Franchise (If Applicable)______Type of Business______

Address (Proposed if start up)______City______State____Zip______

How long has business been at current address?______

Phone No. ( )______Fax No.( )______Tax ID No.______

Type of Legal Entity: _____Corporation _____Partnership _____Sole Proprietorship_____LLC

___C Corp.

___S Corp.

Purpose of Loan ______Amt. Needed $______

Number of Employees now ______After Loan ______Lease or own property______

Have you applied anywhere else for financing?______

Borrower 1 U.S. Citizen?______YES ______NO

Name______% Owner______SSN#______

First Middle Last Maiden

Title______Birthdate ____/____/______Place of Birth______

Home Address______

City State Zip

Home Ph # ( )______Bank Reference______Bank Ph# ( )______

Borrower 2 U.S.Citizen?______YES ______NO

Name______% Owner______SSN#______

First Middle Last Maiden

Title______Birthdate ____/____/______Place of Birth______

Home Address______

City State Zip

Home Ph# ( )______Bank Reference______Bank Ph# ( )______

Borrower 3 U.S. Citizen?______YES ______NO

Name______% Owner______SSN#______

First Middle Last Maiden

Title______Birthdate ____/____/______Place of Birth______

Home Address______

City State Zip

Home Ph# ( )______Bank Reference______Bank Ph# ( )______

Name of Attorney______Firm Name______Phone #______

Name of Accountant______Firm Name______Phone #______

Business Insurance Agent______Firm Name______Phone #______

Lessor Name (if leasehold property)______Phone#______

Borrower hereby authorizes any bank or other lending institution, creditor, trade or credit association, trade or credit reporting bureau, or any other person who has knowledge of Borrower’s credit or trade history to release such information to LoansForBusiness.com or its assignee(s) or designee(s). A photographic or faxed copy of this application shall be valid as the original.

Borrower 1 Borrower 2 Borrower 3

Signed______Signed______Signed______

Name______Name______Name______

Date______Date______Date______

PO Box 553, Oxford, MI 48371 248-628-7500 | Fax 248-628-3006

www.LoansForBusiness.com