SBA Loan Application Form - Marquis Bank [PDF]

Page 1 of 3. Marquis Bank. SBA Loan Application Form. LOAN INFORMATION. Amount of Loan Requested: $. Type of Loan: 7(a)

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Idea Transcript


SBA Loan Application Form LOAN INFORMATION Amount of Loan Requested: Type of Loan:

$ 7(a) Term Loan

504 Total Project Cost: $

SBA Express Line of Credit:

Type LOC Amount: $

7(a) / 504 Companion Loan

APPLICANT COMPANY INFORMATION Borrower Name:

Tax ID Number:

D/B/A:

Street Address:

Type of Business:

City, State, Zip Code:

Contact Person:

Website:

Contact Phone No.:

Contact Email:

ESTIMATED PROJECT COSTS Uses of Funds: Please outline the use of funds in the space below. Be as specific as possible.

Commercial Real Estate New Construction Building Improvements Business Acquisition Machinery & Equipment Furniture & Fixtures Inventory Working Capital Debt Refinancing Closing Costs Other (Please Describe) Total Project Cost

TOTAL COSTS +$ +$ +$ +$ +$ +$ +$ +$ +$ +$ +$ =$

Seller Financing (if any) Cash Injection/Down Payment

–$ –$

TOTAL LOAN REQUEST

=$

COMMENTS This is the purchase price Ground–up construction This is the purchase price

Provide copy of the Note(s) to be refinanced

Proposed SBA Loan

OWNERSHIP / STRUCTURE OF APPLICANT COMPANY Name of Owner(s)

Title

% Owned

Citizen (Y/N)

E-mail Address

100% (Total) SBA Loan Application Form Marquis Bank

Page 1 of 3

AFFILIATES Company Name

Type of Business

# of Employees

% of Ownership

ADDITIONAL INFORMATION For any “Yes” responses, please provide the name of the owner(s) involved and attach a full explanation along with supporting documentation. 1. Are any of the Applicants presently under indictment, on parole or on probation? 2. Have any of the Applicants ever been charged with, arrested for, any criminal offense other than a minor motor vehicle violation? Include offenses which have been dismissed, discharged, or not prosecuted. (All arrests and charges must be disclosed) 3. Have any of the Applicants ever been convicted, placed on pretrial diversion, or placed on any form of probation, including adjudication withheld pending probation, for any criminal offense other than a minor vehicle violation? 4. Is the business or its owner(s) a party to a pending lawsuit, judgment, or tax lien? 5. Do Applicant(s) owe any past taxes? 6. Has any applicant filed Bankruptcy in the past 10 years? 7. Have any of the Applicant(s) ever obtained a government–guaranteed loan? Agency’s Name:

No

Yes

No

Yes Yes

No No

Yes

No

Yes

No

(complete below) No

Date of Closing:

Borrower’s Name: Loan Amount:

Yes

Yes

Current Balance: $

$

Loan Status (current/past due):

EQUAL CREDIT OPPORTUNITY NOTICE Were your gross revenues $1,000,000 or less in your previous fiscal year? Yes

No

N/A

If you answered “Yes” and the Creditor denies your application for credit, you have the right to a written statement of the specific reasons for the denial. To obtain the statement, please contact the address below within 60 days from the date you are notified of Creditor’s decision. The Creditor will send you a written statement of reasons for the denial within 30 days of receiving your request for the statement. The notice at right describes additional protections extended to you. Marquis Bank th 355 Alhambra Circle, 12 Floor, Coral Gables, FL 33134 (305) 443-2922 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, 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: FDIC Consumer Response Center 1100 Walnut Street, SBA Loan Application Form Marquis Bank

Page 2 of 3

Box # 11, Kansas City, Missouri 64106 1-800-378-9581

ACKNOWLEDGEMENT AND AGREEMENT I/We certify that the information contained herein, and/or submitted to the bank, in connection with the subject SBA Loan Application Package, inclusive of all attachments and exhibits are true and accurate as of the stated date(s). I/We hereby authorize the release to Marquis Bank and/or its assigns of all credit history, including consumer and/or business credit reports, as well as information required for the purpose of processing and evaluating the applicant’s financial standing or credit worthiness for the proposed credit transaction.

Borrowing Entity:

Date as of

Owner / Principal Signature

Title

Owner / Principal Signature

Title

Owner / Principal Signature

Title

Owner / Principal Signature

Title

SBA Loan Application Form Marquis Bank

Page 3 of 3

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