International Commercial Loans

		Skype: klauslabuttis
USA:	Tel: +1.267.439.4398	Fax: +1.786.513.0489

klaus@international-commercial-loans.com

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USA Loan Application

Business Information (Strictly Confidential)

Business Applicant’s Name (exact legal name):

Phone #: Email Address:

Street Address: City: State: Zip Code:

Mailing Address: City: State: Zip Code:

Taxpayer ID Number: Year Business Established:

Year Current Ownership: Years owners have been in this line of business:

Business Type

Individual Corporation Partnership Other

Sole Proprietorship S-Corporation General Partnership Nonprofit Organization Individual C-Corporation Limited Partnership
Professional Association Limited Liability Company Limited Liability Partnership Other

Description of Business of Service:

Business Contact Name: Business Phone: Business Fax:
Business Email:

Referral Serive

Name: Phone: Email:

Subject Property

What Name is the Property Going to be Titled in:

Property Street Address:

City: State: Zip Code:

Property Type:

Office sf Office/Warehouse sf Retail sf Single Family sq
Multi-Family sf units Land Development acres lots
Residential Construction acres units
Other please specify: sf units

Describe Property: (Include size, age. Building material, layout, type and conditions of improvements, land area, access, parking and any other pertinent or appropriate information)

Loan Request

Loan Amount Required: $ Term:

Loan Type:

Acquisition Term Loan Refinance Term Loan Bridge Term Loan Construction/Development Line
Construction to Mini Perm - Stabilization Other , please specify

Loan Purpose Collateral

Purchase Subject Property Expected Closing Date:

Purchase Price: Down Payment: Source of Down Payment:
Current Market Value:

Secondary Financing: Interest Rate % Mo. P&I Payment: Term: Mons
To Be Payable To:

Other Collateral Available: Current Market Value: Prior Liens:

Refinance Subject Property Expected Closing Date:

Date Acquired: Purchase Price $ Current Market Value $

Describe significant improvements made since purchase:

Other Collateral Available: Current Market Value: Prior Liens

Use of Loan Proceeds:	Payable to:
First Lien Position: $
Second Lien Position: $
Other $
Other $
Total Use of Loan Proceeds $

Contract/ Development of Subject Property Estimated Completion Date:
Estimated Completed Market Value:

Date Property Acquired: Purchase Price $ Existing Lien(s)
Payable To:

Other Collateral Available Current Market Value $ Prior Liens

Use of Funds	Source of Funds
Pay Existing Liens(s) $	Loan Applied For: $
Land Acquisitions $	Funds Invested by Owner $
Land Development $	Funds Invested by Others $
Direct Construction Cost $	Other $
Indirect Construction Cost $	$
Other $	$
Total Use of Funds $	Total $
General Contractor(name and address)	Source of Equity Funds(cash down and/or other-explain)

Financial Information

Business Income
	Fiscal Year Ending 200	Fiscal Year Ending 200
Net Operating Income	$	$

Business Debts (List all business debts, including accounts and trade payable)

To Whom Payable	Type of Account (Revolving term, etc.)	Balance Owing	Payment	Pay off with proceeds?
		$	per	Yes
		$	per	Yes
		$	per	Yes

List all Guarantor(s) of the Requested Loan

Name	Address	Social Security #	Phone #

Related Business Issues


Has the Applicant or any Guarantor or Co-applicant ever declared bankruptcy?	Yes No
Is the Business Applicant or any Guarantor or Co-applicant a party to any claim or lawsuit?	Yes No
Are there any state or federal tax liens filed against the Business Applicant or any Guarantor of Co-applicant?	Yes No

Ownership/Management Information

List all owners to the Business Application if applicable

Name	Social Security #	Date of Birth	Title	Percent Ownership	Number of years in this line of business

Agreement

The undersigned hereby applies for the loan or credit described in this application to be secured by the property described herein, and represents that the property will not be used for any illegal or restricted purpose, and that all statement made in this application and the attachments are true and are made for the purpose of obtaining the loan. Lender is authorized to verify with other partied and to make any investigation of my/our credit, either directly and through any agency employed by the Lender for that purpose. These representation and authorization extend not only to Lender, but also to any insurer of the loan and to any investor to whom Lender may documentation they may request with respect to my/our application, credit or loan.

Signature of Applicant(s)

Authorized Signature Title Date

Signature of Guarantor(s)

Authorized Signature Title Date

Loan Summary (provided by applicant)

Date:

Loan Project Name:

Property Address:

Borrowing Entity:

Personal Guarantors:

Loan Type:

Loan Amount: $

Appraised Value: $

Loan Value: %

Net Loan to Cost: %

Loan Term months

Estimated Closing Date

Project Description:

Loan Purpose and Loan Requested Details:

Source of Repayment:

local Real Estate Market Info:

Borrowing Entity Information:

Persoanl Guarantors Information:

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