Application

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Please fill out this Commercial Loan Application. One of our team members will be in touch with next steps.

Important applicant information: Federal law requires financial institutions to obtain sufficient information to verify your identity. You may be asked several questions and to provide one or more forms of identification to fulfill this requirement. In some instances we may use outside sources to confirm the information. The information you provide is protected by our privacy policy and federal law.

First, we need some basic info.

Section 1: Application, Request, and Sources of Repayment

Section 2: Loan Security

Complete this section only if requested loan will be secure.

All loan proceeds will be for purchase of collateral

Yes

No

Description of purchase money collateral

If yes checked in previous question

Amount of proceeds used for purchase of collateral

$

Appraised value of purchase money collateral

$

Description of non-purchase money collateral

Appraised value of non-purchase money collateral

$

Liens on collateral

List any collateral with liens on it, the amount of the underlying debt, the names and addresses of collateral's lien holders.

Non-applicant holders of collateral

Check yes or no if this applies

Yes

No

Name(s), address(es), and phone number(s) of non-applicant holders of collateral

Section 3: Loan Guaranty

Complete this section only if requested loan will be guranteed.

Legal Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Guarantor Information

Guarantor or affiliate were declared bankrupt within the last 10 years

There are outstanding judgements against guarantor (if checked, provide detail in next question)

Guarantor is an entity and will provide financial statements

If outstanding judgments against guarantor, provide more information

Also list each threatened or pending lawsuit, arbitration, or other proceeding

Brief description of collateral to secure this guaranty

Appraised value of guaranty collateral

$

Liens on collateral

List any collateral with liens on it, the amount of the underlying debt, and names and addresses of collateral's lienholders

Description of current property insurance on existing collateral

Type, coverage, deductible, and term

Notice: Joint Credit (If applicable)

CREDIT DENIAL NOTICE. If your gross revenues were $1,000,000 or less in your previous fiscal year, or you are requesting trade credit, a factoring agreement, or similar types of business credit in this Commercial Loan Application, and if your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain the statement please contact (Name, address, and telephone number of the person or office from which the statement of reasons can be obtained) within 60 days from the date you are notified of our decision. We will send you a written statement of reasons for the denial within 30 days of receiving your request for the statement. The notice that follows describes additional protections extended to you.

EQUAL CREDIT OPPORTUNITY NOTICE: The federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (providing the applicant has the capacity to enter into a binding contract), because all or a part of the applicant's income derives from any public assistance program, or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is

Ohio Notice - The Ohio laws against discrimination require that all creditors make credit equally available to all credit worthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio civil rights commission administers compliance with this law.

For California residents and transactions secured by real property: Hazard Insurance exceeding the replacement value of the real property is not required as a condition of this loan.

SIGNATURES. By signing below, Loan Applicant submits this application and the information provided on all accompanying financial statements and schedules for the purpose of obtaining credit and represents that the information submitted is accurate and complete. Loan Applicant acknowledges that representations made in this application will be relied on by Lender in evaluating this application and, if approved, in extending credit. Loan Applicant represents that none of the parties named in this application have relied on advice from the Lender in applying for or receiving any credit. Loan Applicant acknowledges that Lender has not made any commitment to approve this application and extend credit, unless otherwise agreed to in writing. Lender is authorized to conduct any inquiries it decides are necessary to verify the accuracy of the information contained in this application and to use any reasonable method to determine the creditworthiness of the Loan Applicant. Lender is also authorized to answer any questions from others about Lender's credit experience with the parties in this application. Loan Applicant will promptly notify Lender of any subsequent changes which would affect the accuracy of this application, and will provide all documents and information that Lender decides are necessary to complete this application. Loan Applicant authorizes Lender to retain this application, whether or not Lender approves any extension of credit. Any intentional misrepresentation of the information contained herein could result in criminal action under federal law.

Applicant Name

First Name

Last Name

Sign by initializing in the box below

Co-Applicant Name

First Name

Last Name

Co-Applicant signature by initialing in the box below

Application

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