BUSINESS INFORMATION Must be completed in its entirety OWNERSHIP

Transcription

1 BUSINESS INFORMATION Must be completed in its entirety SBA LOAN APPLICATION Company Name DBA or Franchise (if applicable) Phone Fax Street Suite # Website City State Zip Code Date Company Founded Tax Identification # Type of Organization: C Corp S Corp LLC LLP LP GP Sole Prop. OWNERSHIP List below all owners, partners, Limited Liability Corporation (LLC) members, and stockholders of privately held companies totaling 100% of ownership. For corporations identify all corporate officers regardless of ownership. For a Partnership or LLC, identify the managing/general partner or managing member. For public companies identify all corporate officers and board of directors. If additional owners, attach a separate sheet. Name Title Ownership % Address City State Zip Code Name Title Ownership % Address City State Zip Code Type of Business: Service Retail Wholesale Mfg. Distribution Other (Describe) Describe the products and services: PROJECT SUMMARY Real Estate Purchase $ Working Capital $ Business/Practice Acquisition $ Building Improvements $ Inventory $ Other (Describe) $ Equipment Purchase $ Debt Refinance $ Other (Describe) $ Briefly Describe Project GENERAL INFORMATION: 3 years fiscal year end business financial statements and current year-to-date statement within 90 days of application (Profit & Loss Statement and Balance Sheet) 3 years of business tax returns including all schedules and K-1 s OTHER FORMS: Personal Financial Statement for each owner of 20% or more of the business, or other personal guarantors Form Years of personal tax returns for all principal owners, including all schedules and K-1 s IRS Form 4506-T HomeStreet Bank USA Patriot Act Form

2 OWNER / GUARANTOR INFORMATION MUST BE COMPLETED IN ITS ENTIRETY Attach separate sheet for each owner who owns 20% or more in the business You: First Name Middle Initial Last Prior Names Date of Birth Place of Birth (City, State) Previous Address: (if <10 yrs) Previous Address From To City State Zip Code Contact Information: Phone ( ) Cell ( ) MILITARY SERVICE BACKGROUND Branch From To Honorable Discharge: Yes No Rank Upon Discharge Grade PREVIOUS SBA OR FEDERAL GOVERNMENT DEBT Requested or received. Attach a separate sheet if needed. Federal Agency Declined Approved Date of Loan Or Application Original Loan Amount $ Current Balance $ Current Delinquent Do you currently export or are you planning to export? Yes No Do you own 20% or more of any other business? Yes No If yes, please list the business name and percentage of ownership

3 DECLARATIONS Are you applying for joint or individual credit? If joint, what is the name of the joint applicant? Please state the joint applicant s relationship to you: Please sign that the above accurately reflects your intention in applying for credit. Primary Applicant: Joint Applicant: No The Applicant(s) are party to a lawsuit or subject to outstanding judgments? No The Applicant(s) have past due tax or credit obligations. No The Applicant(s) have filed bankruptcy or were officers of a company that declared bankruptcy in the past 10 years. No Are you presently subject to an indictment, criminal information, arraignment, or other means by which formal criminal charges are brought in any jurisdiction? No Have you been arrested in the past six months for any criminal offense? No For any criminal offense other than a minor vehicle violation have you ever: 1) been convicted: 2) plead guilty: 3) plead nolo contendere: 4) been placed on pretrial diversion: or 5) been placed on any form of parole or probation (including probation before judgment) owed to lender. No The Applicant(s) entered into a short sale, compromised or otherwise settled with a lender for less than the debt No The Applicant(s) have an ownership interest in HomeStreet Bank or one of its affiliates. I/We hereby certify that the attached financial statements and statement of Applicant in support of this Application is intended for use by HomeStreet Bank ( Bank ) for the purpose of obtaining credit for the Applicant(s) or for the purpose of the Applicant(s) guaranteeing credit for others. I/We further certify that all information contained therein is true and correct in every detail and represents the financial condition of the Applicant(s) on the date given below. The Bank is authorized to make all inquiries deemed necessary to verify the accuracy of the information contained therein and to determine the creditworthiness of the undersigned. Applicant(s) will promptly notify the Bank of any subsequent changes which would affect the accuracy of the enclosed statement. Applicant(s) are aware that any knowing or willing false statements regarding property values listed therein for purposes of influencing the actions of the Bank can be a violation of federal law 18 U.S.C. sec and may result in a fine or imprisonment or both. In addition, each individual signing below authorizes the Bank to check their individual credit account and employment history and have a credit reporting agency prepare a credit report on each. Important Disclosures Notice: Right to copy of appraisal. We may order an appraisal to determine the property s value and charge you for this appraisal. We will promptly give you a copy of any appraisal, even if your loan does not close. You can pay for an additional appraisal for your own use at your own cost. Notice: The federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant's income derives from any public assistance program; or because the applicant has in good faith exercised any

4 right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is FDIC Consumer Response Center, 1100 Walnut St, Box #11, Kansas City, MO Notice: If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain the statement, please contact HomeStreet Bank, Attn: Commercial Lending, 601 Union St, Ste 2000, Seattle WA 98101, within sixty (60) days from the date you are notified of our decision. We will send you a written statement of reasons for the denial within thirty (30) days of receiving your request for the statement. WASHINGTON TRANSACTIONS: ORAL AGREEMENTS OR ORAL COMMITMENTS TO LEND MONEY, EXTEND CREDIT OR FORBEAR FROM ENFORCING REPAYMENT OF A DEBT ARE NOT ENFORCEABLE UNDER WASHINGTON STATE LAW. OREGON TRANSACTIONS: UNDER OREGON LAW, MOST AGREEMENTS, PROMISES AND COMMITMENTS MADE BY US CONCERNING LOANS AND OTHER CREDIT EXTENSIONS THAT ARE NOT FOR PERSONAL, FAMILY OR HOUSEHOLD PURPOSES OR SECURED SOLELY BY THE BORROWER S RESIDENCE MUST BE IN WRITING, EXPRESS CONSIDERATION AND BE SIGNED BY US TO BE ENFORCEABLE. HAWAII TRANSACTIONS: PROMISES, CONTRACTS OR AGREEMENTS TO LEND MONEY OR EXTEND CREDIT IN AN AMOUNT GREATER THAN FIFTY THOUSAND DOLLARS ($50,000.00) BY A FINANCIAL INSTITUTION MUST BE IN WRITING. IDAHO TRANSACTIONS: PROMISES OR COMMITMENTS TO LEND MONEY OR EXTEND CREDIT IN AN ORIGINAL PRINCIPAL AMOUNT OF $50,000 OR MORE BY A PERSON ENGAGED IN THE BUSINESS OF LENDING MONEY OR EXTENDING CREDIT MUST BE IN WRITING. CALIFORNIA TRANSACTIONS: A CONTRACT, PROMISE, UNDERTAKING OR COMMITMENT TO LOAN MONEY, TO GRANT, OR EXTEND CREDIT, IN AN AMOUNT GREATER THAN $100,000.00, NOT PRIMARILY FOR PERSONAL, FAMILY, OR HOUSEHOLD PURPOSES MADE BY A PERSON ENGAGED IN THE BUSINESS OF LENDING OR ARRANGING FOR THE LENDING OF MONEY OR EXTENDING CREDIT IS INVALID, UNLESS IT, OR SOME NOTE OR MEMORANDUM THEREOF, IS IN WRITING AND SUBSCRIBED BY THE PARTY TO BE CHARGED OR BY THE PARTY'S AGENT. IF THE LOAN IS SECURED BY RESIDENTIAL PROPERTY CONSISTING OF ONE TO FOUR DWELLING UNITS IT SHALL BE DEEMED FOR PERSONAL, FAMILY, OR HOUSEHOLD PURPOSES. I certify that the Bank may rely upon a copy of this document signed by me as a true and correct copy of the original and in lieu of the original signed document. The undersigned declares that he/she has read and understands the statements above. APPLICANT SIGNATURE: Date Title: APPLICANT SIGNATURE: Date Title:

5 USA HomeStreet Bank Patriot Act Form IMPORTANT INFORMATION ABOUT PROCEDURES FOR APPLYING FOR CREDIT OR OPENING A NEW ACCOUNT To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account (which include deposit accounts, loans, safe deposit, and investment accounts). What this means for you: When you apply for credit or open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver s license or other identifying documents. (FULL NAME) (SIGNATURE) (DATE) (SOCIAL SECURITY NUMBER) (BIRTHDATE) (IDENTIFICATION TYPE & NUMBER) (PHYSICAL ADDRESS, INC L. CITY) (STATE, ZIP CODE) (STATE OF ISSUE, ISSUE DATE, EXPIR. DATE) (FULL NAME) (SIGNATURE) (DATE) (SOCIAL SECURITY NUMBER) (BIRTHDATE) (IDENTIFICATION TYPE & NUMBER) (PHYSICAL ADDRESS, INC L. CITY) (STATE, ZIP CODE) (STATE OF ISSUE, ISSUE DATE, EXPIR. DATE) Information below is to be completed by notary public if HomeStreet Bank Employee did not validate the information above. HomeStreet Bank Employee: Date: The undersigned certifies that they have reviewed and validated the information provided above, against an unexpired government issued identification evidencing address or nationality and bearing a photograph for all individuals listed above. Subscribed and sworn (affirmed) before me this day of Notary Public in and for the State of Residing in My commission expires:

6 Borrower Copy SBA LOAN APPLICATION Important Disclosures Notice: Right to copy of appraisal. We may order an appraisal to determine the property s value and charge you for this appraisal. We will promptly give you a copy of any appraisal, even if your loan does not close. You can pay for an additional appraisal for your own use at your own cost. Notice: The federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant's income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is FDIC Consumer Response Center, 1100 Walnut St, Box #11, Kansas City, MO Notice: If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain the statement, please contact HomeStreet Bank, Attn: Commercial Lending, 601 Union St, Ste 2000, Seattle WA 98101, within sixty (60) days from the date you are notified of our decision. We will send you a written statement of reasons for the denial within thirty (30) days of receiving your request for the statement. WASHINGTON TRANSACTIONS: ORAL AGREEMENTS OR ORAL COMMITMENTS TO LEND MONEY, EXTEND CREDIT OR FORBEAR FROM ENFORCING REPAYMENT OF A DEBT ARE NOT ENFORCEABLE UNDER WASHINGTON STATE LAW. OREGON TRANSACTIONS: UNDER OREGON LAW, MOST AGREEMENTS, PROMISES AND COMMITMENTS MADE BY US CONCERNING LOANS AND OTHER CREDIT EXTENSIONS THAT ARE NOT FOR PERSONAL, FAMILY OR HOUSEHOLD PURPOSES OR SECURED SOLELY BY THE BORROWER S RESIDENCE MUST BE IN WRITING, EXPRESS CONSIDERATION AND BE SIGNED BY US TO BE ENFORCEABLE. HAWAII TRANSACTIONS: PROMISES, CONTRACTS OR AGREEMENTS TO LEND MONEY OR EXTEND CREDIT IN AN AMOUNT GREATER THAN FIFTY THOUSAND DOLLARS ($50,000.00) BY A FINANCIAL INSTITUTION MUST BE IN WRITING. IDAHO TRANSACTIONS: PROMISES OR COMMITMENTS TO LEND MONEY OR EXTEND CREDIT IN AN ORIGINAL PRINCIPAL AMOUNT OF $50,000 OR MORE BY A PERSON ENGAGED IN THE BUSINESS OF LENDING MONEY OR EXTENDING CREDIT MUST BE IN WRITING. CALIFORNIA TRANSACTIONS: A CONTRACT, PROMISE, UNDERTAKING OR COMMITMENT TO LOAN MONEY, TO GRANT, OR EXTEND CREDIT, IN AN AMOUNT GREATER THAN $100,000.00, NOT PRIMARILY FOR PERSONAL, FAMILY, OR HOUSEHOLD PURPOSES MADE BY A PERSON ENGAGED IN THE BUSINESS OF LENDING OR ARRANGING FOR THE LENDING OF MONEY OR EXTENDING CREDIT IS INVALID, UNLESS IT, OR SOME NOTE OR MEMORANDUM THEREOF, IS IN WRITING AND SUBSCRIBED BY THE PARTY TO BE CHARGED OR BY THE PARTY'S AGENT. IF THE LOAN IS SECURED BY RESIDENTIAL PROPERTY CONSISTING OF ONE TO FOUR DWELLING UNITS IT SHALL BE DEEMED FOR PERSONAL, FAMILY, OR HOUSEHOLD PURPOSES.