Business Loan Application

Business Information

Business Name
OK Business Name is required
Business Type
Optional OK Business Type is required
Contact Name
Optional OK Contact Name is required
Address
Optional OK Address is required
Address Line 2
Optional OK Address Line 2 is required
City
Optional OK City is required
State
Optional OK State is required
Zip
Optional OK Zip is required
Use residential address for mailing address
- Yes
- No
Optional OK Use residential address for mailing address is required
Mailing Address (if different than above)
Optional OK Mailing Address (if different than above) is required
City
Optional OK City is required
State
Optional OK State is required
Zip
Optional OK Zip is required
Business Phone
Optional OK Business Phone is required
Business Fax
Optional OK Business Fax is required
Business Cell Phone
Optional OK Business Cell Phone is required
Tax ID Number
Optional OK Tax ID Number is required
E-mail
Optional OK E-mail is required
Years in Business
Optional OK Years in Business is required
Years Under Current Management
Optional OK Years Under Current Management is required
Annual Sales
Optional OK Annual Sales is required

Ownership Information

Name
OK Name is required
Social Security Number
Optional OK Social Security Number is required
Primary Phone
OK Primary Phone is required
Email
Optional OK Email is required
Date of Birth

Optional OK Date of Birth is required
Address
Optional OK Address is required
City
Optional OK City is required
State
Optional OK State is required
Zip
Optional OK Zip is required

Loan Request Information

Loan Amount
Optional OK Loan Amount is required
Loan Term
Optional OK Loan Term is required
Purpose of Loan
Optional OK Purpose of Loan is required
List of assets to the Purchased or Financed
Optional OK List of assets to the Purchased or Financed is required

Additional Loan Request Information

We must have the following documents before a loan application can be considered.

Copies of the company's financial statement and tax returns for the last 3 years.

A copy of the company's most recent interim financial statement for the current year.

A copy of a personal financial statement for each owner listed above.

Equal Credit Opportunity Notice

Were your gross revenues $1,000,000 or less in your previous fiscal year?

If you answered "yes" and the Creditor denies your application for credit, you have the right to a written statement of the reason for the denial. To obtain the statement, please contact:

Within 60 days of the date you are notified of the Creditor's decision. The Creditor will send you a written statement of the reasons for the denial within 30 days of receiving your request for the statement. The notice below describes additional protections extended to you.

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 (provided that applicant has the capacity to enter into a contract); because all of 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:

Federal Reserve Consumer Help Center
PO Box 1200
Minneapolis, MN 55480
1-888-851-1920

Security Code

OK is required