Street Address Address Line 2 City State /

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1 Owner Information Name * First Middle Last Social Security Number * Date of birth * /MM /DD YYYY Home Phone # * -### -### #### Business Phone # * -### -### #### Cell Phone * -### -### #### Address * Residence Address * Province / Region Code Are you employed? * Street Address Address Line 2 City State / List the company/position. * Postal / Zip Have you or anyone in your family ever been self-employed? * Country Have you ever participated in any Business Advisory or Counseling Services before? * Highest Level of Education * High School Some College College Degree Some Post Graduate Graduate Degree or higher Are you a U.S. Citizen? * Are you a permanent resident alien? * Are you presently under indictment, on parole, or probation? *

2 If yes, furnish the details. List name(s) under which held, if applicable. * Have you ever been charged with or arrested for any criminal offense other than a minor motor vehicle violation? * If yes, furnish the details. List name(s) under which held, if applicable. * Is there a co-applicant? Yes No Co-Applicant Information Co-Applicant Name * First Last Phone * -### -### #### Co-Applicant's * Co-Applicant Residence Address * Province / Region Code Street Address Address Line 2 City State / Co-Applicant Social Security # * Postal / Zip Country Co-Applicant Date of Birth * /MM /DD YYYY

3 Company Information Company Name * Primary Business Address * Province / Region Code Street Address Address Line 2 City State / Postal / Zip Principal in charge * First Last Work Phone -### -### #### Cell Phone -### -### #### Fax -### -### #### Country Business Industry Type of entity (check one) * Proprietorship Partnership LLC Corporation What year did the business start? * Number of current employees * Company Ownership Please list primary owners of the company. (Anyone owning 20% or more.) Name * First Last Title * Percent of ownership * Name First Last

4 Title Percent of ownership Name First Last Title Percent of ownership Name First Last Title Percent of ownership Affiliate Businesses List any other businesses of owner(s)/guarantor(s). Business name Owner name First Last Business name Owner name First Last Business name Owner name First Last Operating Company Profile Tell us about your company.

5 Describe your business and the products or services you offer. * What is your primary market and who are your target customers? * List your major competitors, suppliers, and your future plans. * Have you or an officer in your company ever been involved in bankruptcy or insolvency proceedings?* If yes, provide more information. * Are you or your company involved in any pending lawsuits? * Do you conduct business with any relative(s)? * Do you conduct business with any vendor(s) for which someone in your company has a significant financial interest? *

6 If yes to either of the above, provide more information. * New Project Information Physical address of project * Province / Region Code Project costs Street Address Address Line 2 City State / Postal / Zip Country Acquisition and/or repair of machinery and equipment$.dollars Cents Inventory Purchase$.Dollars Cents Working capital$.dollars Cents Acquisition of an existing business$.dollars Cents Real Estate (land and building)$.dollars Cents New construction/expansion/repair/leasehold improvement$.dollars Cents What is the square footage of the new building/leasehold space? What is the square footage your company will occupy? Other$.Dollars Cents Please describe Other (listed above) Total project cost *$.Dollars Cents Will this loan create new employment opportunities? *

7 Estimated number of new employees within the next two years as a result of this loan. References Bank or Credit Union name * Account officer * First Last Phone -### -### #### Referral Source How did you hear about ACE? How did you hear about us? * If you were referred by a bank, please tell us which bank and whom referred you. Personal Information Indicate gender * Male Female I prefer not to answer. With which race do you more closely identify? * Black or African American Asian American Indian or Alaskan Native White Native Hawaiian or Other Pacific Islander With which ethnicity do you identify? * I prefer not to answer Not Hispanic or Latino Hispanic or Latino I prefer not to answer Are you a veteran? * If yes, what branch? Credit Report Authorization I declare that the information provided in this application is true and correct. I hearby authorize the release of any and all credit report and other information required in the

8 processing of my loan application and as required in the servicing and/or during the term of my loan. I further authorize ACE and its successor to release such information to any entity as required in the processing of my loan application. I/we hereby certify that the enclosed information, including any attachments or exhibits provided herwithin or at a later date, is valid and correct to the best of my/our knowledge. Signature of applicant * Signature of co-applicant (if applicable) If we take adverse action on your application for credit, you have the right to a statement of specific reasons as to why we took such adverse action within 30 days if you request the statement within 60 days of our notification. You may contact [the name, address, and telephone number of the person or office at ACE] to obtain the statement of reasons. 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 Trade Commission, Equal Credit Opportunity, Washington, DC administers ACE's compliance with the Equal Credit Opportunity Act.