Business Loan Application - Cornerstone Credit Union


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Cornerstone Home :: Resources :: Applications/Forms :: Business Loan Application

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COMPLETION INSTRUCTIONS FOR APPLICANT
Complete the Applicant Information for the first applicant. Mark the appropriate box to indicate whether the Applicant is applying as a Borrower, Guarantor, Cosigner, Grantor (of collateral), or Other for a different capacity. If the Applicant is a married individual, he or she may apply for individual credit. (Do not complete Marital Status question below if application is for individual unsecured credit.)

* - REQUIRED FIELD

CREDIT REQUESTED

Amount Requested:	*
Term of Credit Requested:	*
Purpose of Credit Request:	*
Credit Request: *
Applicant Only Joint with Co-Applicant(s)
We intend to apply for joint credit: *
Applicant Co-Applicant

APPLICANT INFORMATION
Applicant is a: *
Borrower Guarantor Cosigner Grantor Other

Name of Applicant (Business Name or Last Name if individual):	*
Applicant First Name (If individual):
Social Security Number or Tax Identification Number:	*
Assumed Business Name (if any):	*
Filing Dates:	*
Filing Locations:	*

DBA Name:	*
Street Address:	*
City:	*
State:	*
Zip Code:	*
Mailing Address:	*
City:	*
State:	*
Zip:	*

Principal Office Address (If not listed above):
City:
State:
Zip:

State of Origination:

Applicant is: *
Individual Proprietorship Proprietorship Corporation Non-profit Association Trust Government Entity LLC

Check Appropriate Box
Individual: *
If you are applying for individual credit and are relying on your own income or assets and not the income or assets of another person as the basis for repayment of the credit requested, do not complete the section for marital status below. If you are applying for individual credit, but are relying on income from alimony, child support, or separate maintenance or on the income or assets of another person as the basis for repayment of the credit requested, complete all sections to the extent possible, providing information about the person whose alimony, support or maintenance payments or income or assets you are relying. If you are applying for joint credit with another applicant, complete all sections.

Marital Status (if borrower): *
Married Unmarried Separated

SCHEDULE OF COLLATERAL OFFERED BY THIS APPLICANT

Description:	*
Value:	*
Total Liens: $	*
Ownership Status for this Applicant: *
Purchase money Presently owned
Creditor Name:	*

Description:
Value:
Total Liens: $
Ownership Status for this Applicant:
Purchase money Presently owned
Creditor Name:

Description:
Value:
Total Liens: $
Ownership Status for this Applicant:
Purchase money Presently owned
Creditor Name:

Description:
Value:
Total Liens: $
Ownership Status for this Applicant:
Purchase money Presently owned
Creditor Name:

FINANCIAL AND INCOME STATEMENT SUMMARY
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 the obligation.

Total Assets: $	*
Total Annual Income: $	*
Total Liabilities: $	*
Total Annual Expenses: $	*
Net Worth: $	*
Net Annual Cash Flow: $	*

AUTHORIZED SIGNERS FOR THIS APPLICANT

Name:	*
Title:	*
Social Security #:	*
Street Address:	*
City:	*
State:	*
Zip:	*

Name:
Title:
Social Security #:
Street Address:
City:
State:
Zip:

Name:
Title:
Social Security #:
Street Address:
City:
State:
Zip:

Name:
Title:
Social Security #:
Street Address:
City:
State:
Zip:

By clicking on “I/We Accept” icon below we agree that we are applying for the loan or credit described in this application on behalf of the applicant business. I/We certify that I/we made no misrepresentation in this loan application or in any related documents, that all information is true and complete, and that I/we did not omit any important information. I/We agree that any property securing the loan or credit will not be used for any illegal or restricted purpose. Lender is authorized to verify with other parties and to make any investigation of my/our credit, either directly or through any agency employed by the Lender for that purpose. Lender may disclose to any other interested parties information as to Lender’s experiences or transactions with my/our account. I/We understand that Lender will retain this application and any other credit information Lender receives, even if no loan or credit is granted. These representations and authorizations extend not only to Lender, but also to any insurer of the loan and to any investor to whom Lender may sell all or any part of the loan. I/We further authorize Lender to provide any such insurer or investor any information and documentation that they may request with respect to my/our application, credit or loan.

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