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Bank Loan Application

An Example of a Bank Loan Application for a Small Business Loan




New Relationship Branch:_____________________

Existing Relationship Officer:__________________


  • Business Name_______________________________________
  • Address_____________________________________________
  • Telephone ( )______________ Tax I.D.____________
  • Individual Name(s)__________________________________
  • Address_____________________________________________
  • Telephone ( )_______Social Security #_______Date of
  • Birth:_____
  • Proprietorship______ Partnership______Sub-Chapter S_______ Corporation_____________ Non-Profit________ Individual_________ LLC_________

Ownership Distribution: (List stockholders, partners, owner names) Note: Attach separate sheet if additional space needed.

  • Name__________Title________# of Years______%___ SS#_____
  • Name________Title________# of Years_________%___SS#_________
  • Name________Title________# of Years_________%___SS#_________
  • Nature of Business__________________Year Established_______ Number of Employees________

    • Years at Present Location_________[ ] Own[ ] Lease
    • Accountant__________Telephone ( )
    • Insurance Agent____________Telephone ( )
    • Attorney_____________Telephone ( )


    Bank of Account______________Account Number_____________

    Credit Relationships: Please provide details of your business credit relationships below:

    Original Loan Amount____________Maturity____________
    Name of Creditor_____________Purpose of Loan___________
    Amount___________Presently Owing________________
    Repayment Terms______________Date_______________
    $ $
    $ $
    $ $


    Amount of Loan Requested______________ Type of loan_________

    • [ ]Line of Credit
    • [ ]Term Loan
    • [ ]Business
    • [ ]Home Equity
    • [ ]Commercial Real Estate
      • Requested term of loan:___________________

        Specific Loan Purpose (Check all that apply)

        • [ ] Working Capital
        • [ ] Finance Purchase of Inventory
        • [ ] Finance Purchase Equipment
        • [ ] Finance Purchase of Real Estate
        • [ ] Finance Purchase of Business
        • [ ] Refinance Existing Loan or Debts
        • [ ] Other
          • Collateral Available* (Check all that apply)

            • [ ] All Assets (accounts receivable, inventory, machinery and equipment)
            • [ ] Specific Equipment (Please attach equipment list, including serial numbers or description of equipment, and invoices for new equipment.)
            • [ ] Real Estate (Please attach property address, legal description and a copy of most recent tax bill.) Square Feet Acres
            • [ ] Cash on Deposit at (name of bank) Branch Account #
            • [ ] Personal Assets (As described in Personal Financial Statement.)
              • *Collateral: Loans are secured by collateral, which is property in which a security interest is granted to secure repayment of the loan. The loan collateral may include business assets, stocks, bonds, certificates of deposits, or personal assets. Consider (1) the value of the loan collateral must be equal to or greater than the amount of the loan, (2) expected economic life of collateral will be considered by the Bank in evaluating the collateral offered for the loan, (3) formal collateral appraisals may be required, and (4) a pledge of personal assets may be required as additional collateral for the business loan requested.

                [ ] Guarantors** (Please list)

                • Name__________Social Security #_________________
                • Address__________________________________ Name___________________Social Security #________________ Address__________________________________ Name___________________Social Security #________________ Address__________________________________

                **Guarantors: For incorporated borrowers, guarantees of owner(s) is usually required, unless secured by Bank deposits or marketable collateral. If personal assets are in joint names, a sole proprietorship, and/or partnership, the Bank may require all parties to pledge collateral.


                Please provide a brief history of your business, future plans and projections, and describe your products and/or services and competition.


                If you have been in your present business for under five years, please describe your previous business experience. (Include business background, management experience, and training, or include a resume.)

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