Business Overdraft Line Application (Overdraft Protection)

Instructions:

1.  Please complete Parts 1 - 8 (do not forget to sign).

2.  All owners of the business will be required to sign as guarantors of the Business Overdraft Line (Owner Guarantors). Therefore, Part 7 must be completed by each owner.

3.  If the loan request is for more than $10,000 ($25,000 maximum), please provide the most recent Business Tax Return or the most recent Business Financial Statements, and the most recent Personal Tax Return of all Guarantors.

4.  Please return this application along with the requested materials to your nearest People’s United Bank branch.

1. Business Information

Borrower’s Legal Name
DBA Name, if any
Nature of Business / C Corporation
Business Address / S Corporation
Date Business Started / How long have you owned the Business / Years: / LLC
Federal Tax ID Number / Partnership
Business Telephone Number / Sole Proprietorship
Email Address / Other
Fax Number

If your reply is YES to any question in this section, please explain on an attached sheet.

Is the business or any owner currently involved in any litigation or other legal claims? NO YES
Has the business or any owner ever declared bankruptcy? NO YES
Are any taxes currently past due by the business or any owner? NO YES
Is the firm or any owner contingently liable as guarantor? NO YES

2. Loan Request (please check one)

New Credit Line / $ / Increase Existing Line to / $
People’s United Bank Business Checking Account number you wish to have the line linked to

3. Deposit References

Bank Name & Address / Type of Account / Account Number / Current Balance / Date Account Opened

4. Business Obligations – Provide for all business loans - attach separate schedule if necessary

Creditor / Date
Opened / Maturity
Date / Original Amount / Current
Balance / Monthly
Payment / Collateral
$ / $ / $
$ / $ / $
$ / $ / $

5. Business Financial Statement

Business Assets: / Amount / Business Liabilities: / Amount
Cash in Banks / $ / Line of Credit Balance(s) / $
Accounts Receivable / $ / Accounts Payable / $
Inventory / $ / Accrued Expenses / $
Furniture & Fixtures / $ / Credit Card Balance(s) / $
Machinery & Equipment / $ / Notes Payable (Section 4) / $
Land & Building / $ / Officer Loans / $
Other Assets / $ / Other Liabilities / $
Intangibles / $ / Total Liabilities: / $
Total Assets: / $ / Net Worth: / $
Gross Annual Sales: / $ / Net Profit / (Loss): / $

6. Personal Financial Information for Borrower/ Guarantors

(if more than two, attach separate sheets)

Borrower / Guarantor #1(Name) / Percent of Ownership / Title
Address / Home Phone Number
Social Security Number / Date of Birth / Annual Income*
Assets / Amount: / Liabilities / Amount: / Monthly Payment
Cash on Hand & in Bank / $ / Total Credit Card Balances / $ / $
Personal Residence / $ / Auto Loans, Student Loans, etc. / $ / $
Other Real Estate Owned / $ / Mortgage Loans / $ / $
Autos/Boats/etc. / $ / Home Equity Loans / $ / $
Other Assets / $ / TOTAL LIABILITIES: / $
TOTAL ASSETS: / $ / NET WORTH / $
Borrower/ Guarantor #2 (Name) / Percent of Ownership / Title
Address / Home Phone Number
Social Security Number / Date of Birth / Annual Income*
Assets / Amount: / Liabilities / Amount: / Monthly Payment
Cash on Hand & in Bank / $ / Total Credit Card Balances / $ / $
Personal Residence / $ / Auto Loans, Student Loans, etc. / $ / $
Other Real Estate Owned / $ / Mortgage Loans / $ / $
Autos/Boats/etc. / $ / Home Equity Loans / $ / $
Other Assets / $ / TOTAL LIABILITIES: / $
TOTAL ASSETS: / $ / NET WORTH / $

* (Alimony, Child Support, or separate maintenance income need not be revealed if you do not wish to have it considered as

a basis for repaying this obligation)

7. If you intend to apply jointly for this Business Overdraft Line, please complete this section

We herby acknowledge that it our intent to apply jointly for this credit request.

Applicant ______Co-Applicant _

Signature Signature

This loan was taken over the telephone. The applicant and co-applicant listed above indicated their intent to apply for joint credit

______

Date of request Lender

8. Please Sign Below

The undersigned certifies that the information on this Business Credit Line application, and in all attachments, has been carefully read and is true, correct and complete and made for the purpose of obtaining or continuing an extension of credit. The undersigned certifies that if any substantial change in the financial condition of the applicant occurs, the undersigned shall notify People’s United Bank immediately. The undersigned further represents that there are no encumbrances against any of the foregoing properties except those specifically disclosed above and in the supporting financial statements referenced in the application. People’s United Bank is authorized to verify the information disclosed and to perform a credit investigation, including obtaining a credit report on the owners, principals and guarantors of the applicant. The undersigned authorizes People’s United Bank to give financial and other relevant information on the applicant, its owners, principals and guarantors to any credit reporting service and to respond to credit inquiries. It is also agreed that the application and any financial statements delivered in connection with the application shall remain the property of People’s United Bank whether or not the credit is granted.

Business applicant (please print) ______

Authorized signature for legal entity ______Date ______

Signature (owner/principal/guarantor) ______Date ______

Signature (owner/principal/guarantor) ______Date ______

For People's United Bank Use Only (Must Be Completed By Person Submitting Application):
Person Submitting Application / Employee #
Branch Name / Branch RC
Phone Extension / Date Application Submitted
Financial Service Manager / Has BIN # been set up? / c Yes
Please be sure application is complete and signed in the spaces provided.
Fax or Email completed application and supporting financial information to 802-258-2911 or
Page 1 of 3
Ver. 10/2010 /
Member FDIC