The Business Loan Application form is designed to provide small businesses and
lenders with a professional and formal way to request, and manage information
necessary to make a decision to approve or deny a business loan request from an
applicant. This template contains terms and conditions that are standard for this type of
agreement, however, additional terms may be added to ensure the needs of the
contracting parties are met. This form may also be used to replace or enhance an
existing business loan application form.
Company Name/Logo
BUSINESS LOAN APPLICATION
APPLICANT INFORMATION
Applicant Name: Date of Birth: Social Security Number:
Address: City, State, Zip:
Phone Number: Email Address:
BUSINESS INFORMATION
Business Name: Taxpayer ID: Business Status:
New Existing
Business Type:
Individual Partnership Corporation Non-Profit Other
Names of Owners: Years in Business: Annual Sales:
Business Address: City, State, Zip:
Business Description:
LOAN REQUEST INFORMATION
Loan Type:
Term Loan Line of Credit SBA Loan Commercial Real Estate Loan Other
Desired Loan Amount: Desired Length of Term:
Loan Purpose:
Expansion/Growth Start-Up Capital Debt Restructuring Capital Investment Other
Use of Funds Description:
Available Collateral Description/Value:
FINANCIAL INFORMATION
Business Asset Accounts: Business Liability Accounts:
Financial Institution Balance Creditor Amount
TOTAL TOTAL
ADDITIONAL INFORMATION
Has the applicant declared bankruptcy in the past 7 years? Yes No
Are there any pending claims or lawsuits against the applicant or the business? Yes No
Are there any liens filed against the applicant or the business? Yes No
Are any assets currently pledged against the business? Yes No
AUTHORIZATION/SIGNATURES
I certify that the information provided above is accurate to the best of my knowledge and I authorize [Company Name] to obtain credit and employment
information in order to determine my eligibility for the requested business loan.
Applicant Name (Print): Applicant Name (Signature): Date:
Co-Applicant Name (Print): Applicant Name (Signature): Date:
© Copyright 2011 Docstoc Inc. registered document proprietary, copy not 2
Company Name/Logo
BUSINESS LOAN APPLICATION
Please attach a copy of your business plan (including financial statements and tax returns for the past 3 years).
© Copyright 2011 Docstoc Inc. registered document proprietary, copy not 3
Company Name/Logo
BUSINESS LOAN APPLICATION
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