Talent Financial - Commercial Loan Application Form

Commercial Loan Application Form

* = required field
Contact Information
Name of Borrower:*
Type of Borrower:*		Individual Partnership Corporation
When organized / incorporated:*
Address:*
City:*
State:*
ZipCode:*
Phone:
TaxId:*
Contact Person:*
Contact Person Phone:*
Contact Person Email:*
Loan Information
Requested Loan Type:*		New Construction Purchase Refinance Other
Requested Loan Amount:*
Purchase Price / Construction Cost:*
Down payment $:*
Term / Ammortization Desired:*
Cash on hand $:*
Garantor, Seller Financing:
Business Description

Project Structure/ Collateral Values
Land & Improvements: $
Owners Equity: $
Construction Cost: $
Seller Debt: $
Machinery/Equipage: $
Inventory: $
Working Capital: $
Other: $
Existing Debts: $
Borrower / Guarantor Financial Statement
Cash/Liquid Investments: $
Real Estate Owned: $
Other Assets: $
Existing Installment Debt: $
Credit Cards Outstanding: $
Existing Mortgages: $
Other Liabilities: $
Borrowers Income/Revenues: $
Borrower Ebitdar Cash Flow: $
Total Debt & Lease Payments: $
Comments