Loan Application

LLC Borrower – Personally Underwritten

1. Loan Request

Loan Amount Requested ($)

Loan Purpose (Business Use)

2. Borrowing Entity (LLC)

Legal Name of LLC

Business Address

State of Formation

EIN

Business Activity

Annual Revenue ($, if applicable)

3. Personal Applicant (Primary Guarantor)

Full Legal Name

Date of Birth

SSN

Home Address

Phone

4. Employment & Income

Employment Status

EmployedSelf-EmployedBusiness Owner

Employer / Business Name

Position / Title

Monthly Gross Income ($)

Other Income ($, optional)

5. Personal Financial Summary

Assets

Cash / Bank Accounts ($)

Investments / Retirement ($)

Real Estate ($)

Other Assets ($)

Monthly Liabilities

Rent / Mortgage ($)

Credit Cards ($)

Installment Loans ($)

Other Debt ($)

6. Credit Profile (Self-Reported)

Estimated Credit Score

Any bankruptcies or foreclosures?

NoYes

Any outstanding collections or judgments?

NoYes

7. Authorization

I/We certify that all information provided is true and complete. I/We authorize the lender to verify any information, including obtaining personal and business credit reports.

8. Signature

Type your full legal name as signature

By submitting, you acknowledge today's date as the signature date.