EQUIPMENT LOAN APPLICATION

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1 EQUIPMENT LOAN APPLICATION Loan Features Up to $49,900 subject to credit approval Business will be the borrower and the owner will provide personal guarantee Loan proceeds must be used only for the purpose of purchasing new equipment Term up to 60 months Interest rates start at 5.50% APR* and can go higher depending upon the guarantor s credit and term of the loan Application fee of $25.00 may apply Documentation Requirements Completed loan application Both borrower and guarantor/s will need to have a primary account at Nizari PFCU. Proof of Insurance (Business Location) Copies of last two years personal and business income tax returns Copies of last year s personal and business financial statements Proof of business, showing applicant as owner / part owner of the business Collateral o Articles of incorporation, OR o Partnership deed, OR o Assumed name certificate In case of a partnership or corporation, a signed resolution authorizing the purchase of the equipment shall be required. Original and signed quotations from the vendors together with the Equipment details must be submitted along with the application Depreciation Schedule Consent of landlord (if applicable) The equipment and fixtures purchased from the loan proceeds will be used as collateral for this loan. All the necessary required UCC filing will be done to secure the lien on the equipment and fixtures during the entire term of the loan. The borrower may be responsible for all UCC filing fees. *APR= Annual Percentage Rate Revised May 2016 NIZARI PROGRESSIVE FEDERAL CREDIT UNION University Blvd. Sugar Land, TX, TEL: (281) Fax:

2 Member Business Loan Application Information Regarding Your Business: Description of Business: Type of Organization Profit C-Corporation Profit S-Corporation Non-Profit Corporation Official Legal Name: Professional Corporation Limited Liability Company Professional Limited Liability Company Limited Liability Partnership General Partnership Limited Partnership Joint Venture Individual Sole Proprietorship Trust Other, Please Specify: DBA Name (if any): State of Organization: Qualified to do Business in the Following States: If type of organization is an individual, a sole proprietorship, or a trust, name(s) and address(es) of owner(s) primary residence(s): Please attach copies of: For Corporations, Articles of Incorporation, For a Limited Liability Corporation, the equivalent certificate, or For a Partnership, a Certificate of Partnership if the partnership is registered in any state (if applicable). Limited Liability Corporation s Operating Agreement (if applicable) Partnership Agreement (if applicable) Trade styles or other names under which we do or have done business: Registered assumed business name filings (Furnish copies of the assumed business name filings or certificates for each name, along with proof of publications, if applicable.): Principal Place of Business: Same as applicant street address Different address, please specify: Location of Accounting Books and Financial Records: Same as applicant street address Different address, please specify: Proposed Guarantor(s) (Specify Relationship to Applicant): Guarantor(s) Address Relationship Guarantor(s) Financial Information Attached: Attached Not Attached Please attach copies of: Date(s) or Period(s) Ending Individual Financial Statement(s) Federal Tax Return(s) Share Account Statement(s) Page 2

3 Applicant Signatures and Important Disclosures: Member Business Loan Application I (we) hereby affirm that the foregoing information contained in this member business loan application is presented for the purpose of obtaining credit as of the date indicated and is true, complete and correct. I understand Nizari Progressive Federal Credit Union is relying on this application in making loan(s) to me. Credit Union or its designee is authorized to make any investigation of the credit of the applicant(s), business owner(s) and/or guarantor(s) either directly or through any agency employed by Credit Union for that purpose now and in the future. Credit Union may disclose to any other interested parties Credit Union s experience with this account. I agree to inform the Credit Union immediately of any matter which will cause any material change to my financial condition. I understand that Credit Union will retain this member business loan application whether or not credit is granted. Page 3

4 PERSONAL FINANCIAL STATEMENT Complete this form for: (1) each proprietor; (2) general partner; (3) managing member of a limited liability company (LLC); (4) each owner of 20% or more of the equity of the Applicant (including the assets of the owner s spouse and any minor children); and (5) any person providing a guaranty on the loan Page 3 As of Name Home Address Business Phone Home Phone City, State, & Zip Code Business Name of Applicant Cash on Hand & in banks $ Savings Accounts..$ IRA or Other Retirement Account...$ Accounts & Notes Receivable.$ Life Insurance Cash Surrender Value Only $ (Describe in Section 8) Stocks and Bonds..$ (Describe in Section 3) Real Estate..$ (Describe in Section 4) Automobiles $ (Describe in Section 5, and include Year/Make/Model) Other Personal Property $ Other Assets.$ Total $ 0 ASSETS (Omit Cents) LIABILITIES (Omit Cents) Accounts Payable $ Notes Payable to Banks and Others.$ (Describe in Section 2) Installment Account (Auto)..$ Mo. Payments $ Installment Account (Other)...$ Mo. Payments $ Loan(s) Against Life Insurance...$ Mortgages on Real Estate...$ (Describe in Section 4) Unpaid Taxes.$ (Describe in Section 6) Other Liabilities..$ (Describe in Section 7) Total Liabilities...$ Net Worth.$ Section 1. Source of Income. Contingent Liabilities Total $ 0 *Must equal total in assets column. Salary.$ Net Investment Income...$ Real Estate Income.$ Other Income (Describe below)*...$ As Endorser or Co-Maker.$ Legal Claims & Judgments..$ Provision for Federal Income Tax...$ Other Special Debt.$ Description of Other Income in Section 1. *Alimony or child support payments should not be disclosed in Other Income unless it is desired to have such payments counted toward total income.

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6 Section 2. Notes Payable to Banks and Others. (Use attachments if necessary. Each attachment must be identified as part of this statement and signed.) Names and Addresses of Noteholder(s) Original Balance Current Balance Payment Amount Frequency (monthly, etc.) How Secured or Endorsed Type of Collateral Section 3. Stocks and Bonds. (Use attachments if necessary. Each attachment must be identified as part of this statement and signed.) Number of Shares Name of Securities Cost Market Value Quotation/Exchange Date of Quotation/Exchange Total Value Section 4. Real Estate Owned. (List each parcel separately. Use attachment if necessary. Each attachment must be identified as a part of this statement and signed.) Type of Real Estate (e.g. Primary Residence, Other Residence, Rental Property, Land, etc.) Property A Property B Property C Address Date Purchased Original Cost Present Market Value Name & Address of Mortgage Holder Mortgage Account Number Mortgage Balance Amount of Payment per Month/Year Status of Mortgage Section 5. Other Personal Property and Other Assets. (Describe, and, if any is pledged as security, state name and address of lien holder, amount of lien, terms of payment and, if delinquent, describe delinquency.) Section 6. Unpaid Taxes. (Describe in detail as to type, to whom payable, when due, amount, and to what property, if any, a tax lien attaches.) Section 7. Other Liabilities. (Describe in detail.) Page 5

7 Section 8. Life Insurance Held. (Give face amount and cash surrender value of policies name of insurance company and Beneficiaries.) I authorize the Lender/Surety Company to make inquiries as necessary to verify the accuracy of the statements made and to determine my creditworthiness. CERTIFICATION: (to be completed by each person submitting the information requested on this form) By signing this form, I certify under penalty of criminal prosecution that all information on this form and any additional supporting information submitted with this form is true and complete to the best of my knowledge. I understand that Lenders will rely on this information when making decisions regarding an application for a loan. Signature Date _ Print Name Social Security No. Signature Date _ Print Name Social Security No. May 2016 NIZARI PROGRESSIVE FEDERAL CREDIT UNION University Blvd. Sugar Land, TX, TEL: (281) Fax: Page 6

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