BUSINESS LOAN APPLICATION FORM

BORROWING ENTITY INFORMATION

Business Legal Name

Business Type

Street Address (including city,zip/postal code)

Year Established

Business Industry

Business Registration Number (EIN/VAT/TIN )

Country

Number of Employees

Business Phone #

Business Email

LOAN INFORMATION

Loan Amount

Loan Term

Select the Loan Repayment Security

Bank Guarantee

Credit Protection Insurance

Real Estate

Personal Guarantee

Business Assets

Inventory

Loan Purpose

Equipment Purchase

Expansion

Business Acquisition

consolidate other Debt

Purchase of Inventory

BUSINESS ANALYSIS

Is the loan amount greater than the amounts invested into the business in the past 2 years?

Yes

No

Annual profit of the Business

If No,specify the amount invested in the business in the past 2 years

Buiness Asset

Buiness Liability

OWNER/AUTHORIZED SIGNATORY

Full Name

Position

Annual Net Income

Date of Birth

Sex

Home Address(Include city and State)

Mobile Number

Email Address

RELATIONSHIP MANAGEMENT

How did you hear about us ?

Your Loan Application has been received. We will be in touch.

Member's Name

Broker/Referral's Name

Client's Name

info@fivestarscapitalgroup.com

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