Business Loan Fms Application Checklist

This checklist will help you through the process of gathering the infmation needed to facilitate your loan request. Complete infmation will be necessary to process your loan application. Business Loan Fms Application to be completed Checklist 1. Applicant s Infmation Sheet This This checklist will will help help you you through the the process of of gathering the infmation needed to to to facilitate your your loan loan request. COMPLETE Complete 2. Project infmation INFORMATION Breakdown will will be be necessary WILL BE to NECESSARY to process your your loan TO loan PROCESS application. YOUR LOAN APPLICATION. 3. Management Resume Complete f Fms all Fms individuals to to be to be be completed listed completed in #4 below. Copy the fm as needed. o 1. Applicant s 4. 1. Personal 1. Applicant s Infmation Financial Infmation Statement(s) Sheet Sheet Sheet Complete the SBA fm f all maj stockholders. A maj stockholder is defined as anyone owning 20% me of the cpation s stock. If company is a general partnership, all general o 2. Project Breakdown 2. partners 2. Project must Breakdown complete. All statements are to be dated the same date, not over 60 days old. Copy fm as needed. o 3. Management Resume Complete f all individuals listed in #7 below. Copy the fm as needed. 3. 3. Management Resume Complete f f all all individuals listed listed in #4 in #4 below. below. Copy Copy the the fm fm as as needed. o 4. Business Debt Schedule This schedule must be dated the same as the Interim Balance Sheet and reflect all outstanding 4. 4. Personal liabilities Financial as shown Statement(s) in the Interim Complete Balance the the SBA Sheet. SBA fm Indicate fm f all all maj by maj an asterisk stockholders. (*) items A maj A to maj be paid stockholder by is is loan proceeds. defined as as Provide anyone copies owning 20% of 20% all notes me me which of the of are the to cpation s be refinanced stock. stock. - If if If applicable. company is a is (In a addition general partnership, to transcripts all all general f the last partners 36 must months.) must complete. All All statements are are to be to be dated dated the the same same date, date, not not over over 60 60 days days old. old. Copy Copy fm fm as as needed. o 5. Schedule 5. Business of Real Debt Estate Schedule Owned This schedule must be dated the same as the Interim Balance Sheet and reflect all outstanding liabilities as shown in the Interim Balance Sheet. Indicate by an asterisk (*) items to be paid by loan o 6. Authization of release infmation proceeds. Provide copies of all notes which are to be refinanced - if applicable. o 7. (*) Personal Financial Statement(s) Complete the SBA fm f all maj stockholders. A maj stockholder is 6. Schedule of Real Estate Owned defined as anyone owning 20% me of the cpation s stock. If company is a general partnership, all general partners must complete. All statements are to be dated the same date, not over 60 days old. Copy fm as needed. 5. 7. 5. Business Debt Infmation Debt Schedule Sheet This This schedule must must be be dated dated the the same same as as the the Interim Balance Sheet Sheet and and reflect reflect all all o 8. (*) SBA outstanding Fm 1919 liabilities Complete as as shown shown f all in individuals the the Interim listed Balance in #7 Sheet. above Sheet. Indicate by by an an asterisk (*) (*) items items to be to be paid paid by by loan loan In addition, proceeds. please Provide provide copies copies of the all of following: all notes notes which which are are to be to be refinanced - if - if applicable. o 9. (*) IRS Fm 4506T Request f copy of Transcript of Tax Return To be completed by browing entity if the purpose 6. 8. Business 6. Schedule of this of Financial loan of Real request Real Statements Estate is to refinance Owned & Tax debt. Returns: To be completed Last 3 years by + the Year-to-Date seller if the purpose within 60 of Days: this loan request is to acquire a business. 7. 7. Browing Business Entity: Infmation Sheet Sheet Year 3 Year 2 Year 1 YTD o 10. Business Financial Statements & Tax Returns: Last 3 years + Year-to-Date within 90 Days: Browing In Entity: Year 3 the Year 2 Year 1 YTD In addition, please provide the following: 8. Accounts Payable & Accounts Receivable & Tax (if applicable). Last 3 years If subject + loan request 8. Business Financial Statements & Tax Returns: Last 3 years + Year-to-Date within is within a Start-Up/Expansion, 60 60 Days: Days: please provide a projected operating statement f 2 years, with a monthly breakdown and assumptions of Accounts projections Payable Entity: f & Accounts Year 1. Receivable (if applicable). If subject loan request is a Start-Up/Expansion, Browing Entity: Year Year 3 3 Year Year 2 2 Year Year 1 1 YTD YTD please provide a projected operating statement f 2 years, with a monthly breakdown and assumptions of projections 9. Projections f Year f 1. Start-UP/Expansion (if applicable) o 11. Projections f Start-UP/Expansion (if applicable) 10. Personal Accounts Tax Payable Returns & & Accounts Complete Receivable federal tax (if (if returns applicable). and If all If attached subject loan schedules loan request is f a is the a Start-Up/Expansion, past three (3) years o 12. Personal please please each Tax Returns individual provide a Complete a defined projected #3 federal above. operating tax After returns statement photocopying and f all f 2 years, attached 2 years, tax with returns, schedules with a a re-sign monthly f with the breakdown past blue three ink and and (3) affix assumptions yearscurrent of date. of on each individual projections f defined f Year Year 1. #71. above. After photocopying tax returns, re-sign with blue ink and affix current date. 11. Affiliate Infmation (same requirements as reflected in #11 above) An affiliate is considered to be a person o 13. Affiliate 9. 9. Projections company Infmation with f (same a Start-UP/Expansion financial requirements stake in the (if as applicant (if reflected applicable) concern in #11 above) that influences, An affiliate controls is considered has the to be ability a person to influence company control with the a financial business stake the in applicant the applicant that concern of a related that influences, entity. controls has the ability to influence 10. control 10. Personal the business Tax Tax Returns the applicant Complete that federal of tax a tax related returns entity. and and all all attached schedules f f the the past past three three (3) (3) years years 12. Articles on on each each of individual Incpation defined and #3 #3 By-Laws, above. After After Fictitious photocopying Name tax Statement, tax returns, re-sign Business with with blue License, blue ink ink and Partnership and affix affix current date. date. o 14. Articles of Incpation and By-Laws, Fictitious Name Statement, Business License, Partnership Articles of Organization Trust (whichever 11. 11. Affiliate Articles Infmation of Organization (same (same requirements Trust (whichever as as reflected in #11 in #11 above) An An affiliate is is considered to be to be a a person o 15. Other 13. Other Signed company Signed Purchase with Purchase with a Agreement a financial Agreement stake f stake Business in the f in the Business applicant Real Estate, Real concern Estate, that Franchise that Franchise influences, controls Supply has Supply has the the ability ability to to influence Lease Lease control the the etc. business (whichever etc. (whichever the the applicant that that of a of a related entity. entity. (*) The 12. 12. Personal Articles Financial of of Incpation Statement, and SBA and Fm By-Laws, 1919 and Fictitious IRS Fm Name 4506T Name can Statement, be downloaded Business from the License, bank s webpage. Partnership Articles IMPORTANT of of Organization INFORMATION ABOUT Trust Trust PROCEDURES (whichever FOR is OPENING A NEW ACCOUNT To help the government fight the funding of terrism and money laundering activities, the USA Patriot Act requires all financial institutions to obtain, verify, and recd infmation that identifies each person who opens an account. What this means f you: When you open an account, we will ask f your name, physical address, date of birth, taxpayer identification number IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT and other infmation that will allow us to identify you. We may also ask to see your driver s license other identifying documents. We will let you know if additional infmation is required. To help the government fight the funding of terrism and money laundering activities, the USA Patriot Act requires all financial institutions to obtain, verify, and recd infmation that 13. 13. Other Other Signed Purchase Agreement f f Business Real Real Estate, Franchise Supply identifies each person who opens an account. What this means f you: When you open an account, we will ask f your name, physical address, date of birth, taxpayer identification number and other infmation Lease Lease that will allow us to identify etc. etc. you. We (whichever may also ask is to see is your applicable) driver s license other identifying documents. We will let you know if additional infmation is required. IMPORTANT INFORMATION ABOUT ABOUT PROCEDURES FOR FOR OPENING A NEW A NEW ACCOUNT

Applicant Infmation Sheet Individual Name Title Company Individual Name Name Business Title Phone Street Company Address Name of Business City Business Phone County Street Address of Business State City Zip Number County of Employees ( ) State Zip Number Number of of Employees Employees ((if loan is approved) ) Tax Number ID# of Employees (if loan is approved) Email Address Tax ID# Email Address CPA Name Email Telephone (List Attney all business Name concerns in which the applicant company Email Telephone any individuals listed in the ownership section below have ownership.) (List all business concerns in which the applicant company any individuals listed in the ownership section below have COMPANY NAME ownership.) OWNER % OF OWNERSHIP (Applicant s company individuals) COMPANY NAME OWNER % OF OWNERSHIP (Applicant s company individuals) If answered Yes to any of the following questions, provide detail; attach a separate sheet if necessary. If answered Yes to any of the following questions, provide detail; attach a separate sheet if necessary. Yes No Yes No Are you your business involved in any pending lawsuits? proceedings, judgements, liens, civil litigations, criminal cases? Do you your spouse any member of your household, anyone who owns, manages, directs your Business Are you your their business spouses involved members in any of pending their households lawsuits? wk f the Small Business Administration, Small Have you Business had property Advisy feclosed Council, SCORE, upon given ACE, title any Federal dead in Agency, lieu thereof the in participating the last 7 years? lender? Do you buy from, sell to, use the services of any concern in which someone in your company has Do you buy from, sell to, use the services of any concern in which someone in your company has Do you currently have any outstanding loans guaranteed by the SBA any other federal government program? Does your business presently engage in expt trade? Has Do you your currently business have ever any defaulted outstanding on any loans debts? guaranteed by the SBA any other federal government program? Has Does your your business business ever use defaulted ste and on any hazardous/toxic debts? materials, produce hazardous/toxic waste? Does the business owe any taxes f years pri to the current year? Does your business use ste and hazardous/toxic materials, produce hazardous/toxic waste? Is the business a party to any claim lawsuit? Does the business owe any taxes f years pri to the current year? Yes No Yes Yes Yes No No Yes No

Project Breakdown Project Items Project Cost Land and Building Acquisition... Land Acquisition... (*) Building Construction/Improvement (hard costs)... (*) Building Construction/Improvement (soft costs)... copy of notes required)... Business Acquisition (list of assets and purchase agreement required) Machinery/Equipment Acquisition... Inventy... Furniture Fixtures.. Wking Capital (include loan fees)... Other...... Total Project Cost... Less Browers Injection... Total Loan Requested... 1. Source of Injection 2. Estimated close of escrow date 3. Please provide the name of the Broker other person who referred you to First Colado National Bank (*) Please provide a separate sheet with breakdown of the improvements, cost quotes, including contingency.

MANAGEMENT RESUME Please fill in all spaces. If an item is not applicable, please indicate as such. You may include additional relevant infmation on a separate exhibit. SIGN & DATE where indicated. PERSONAL INFORMATION: Management Résumé Name SS# Date of Birth Place of Birth Residence Telephone # Business Telephone # Residence Address City State Zip Code From To present date. Previous Address: City State Zip Code From to Spouse s Name SS# Are you employed by the U. S. Government? Yes NO Agency / Position Are you a U.S. Citizen? Yes No, If no, give Alien Registration Number EDUCATION: High School/College/Technical-Name/Location Dates Attended Maj Degree/Certificate MILTARY SERVICE BACKGROUND: Branch of Service Dates of Service to WORK EXPEREINCE: List chronologically with present employer. Management Résumé Date Signature SBA Fm f Management Resume

BUSINESS DEBT SCHEDULE Business Debt Schedule Include the following infmation on all installment debts, notes, contracts, and mtgages. Current balance must match the current balance sheet. Include all capital leases shown on the balance sheet (if any). Do not include accounts receivable and accounts payable. Business Name As of, 20 Name of Credit Amount Date Current Balance Interest Rate Maturity Date Monthly Payment Collateral Current Delinquent Total Current Balance Total Monthly Payment Signature: Title: Date: Schedule of Real Estate Owned Description of Property Date Acquired Cost Present Market Value Mtgagee Mtgage Amount Mtgage Balance Monthly Principal & Interest Only Maturity/ Status Signature: Title: Date:

This checklist will help you through the process of gathering the infmation needed to facilitate your loan request. Complete infmation will be necessary to process your loan application. Authization to Release Infmation Business Loan Fms Application to be completed Checklist 1. Applicant s Infmation Sheet This This checklist will will help help you you through the the process of of gathering the infmation needed to to facilitate your your loan loan request. Brower Complete 2. Project (Applicant infmation Breakdown will Company): will be be necessary to to process your your loan Co-Brower loan application. (If applicable): Is the Brower: o the Operating Entity; o Real Estate Holding Entity 3. Management Resume Complete f all Fms individuals to to be be listed completed in #4 below. Copy the fm as needed. Is the Co-Brower: o the Operating Entity; o Real Estate Holding Entity 4. 1. Personal 1. Applicant s Financial Infmation Statement(s) Sheet Sheet Complete the SBA fm f all maj stockholders. A maj stockholder is I/We are defined applying asf: anyone owning o 20% Individual me Credit of the cpation s stock. o If company Joint Credit is a general partnership, all general 2. partners 2. Project must Breakdown complete. All statements are to be dated the same date, not over 60 days old. Copy fm as needed. Signature (Principal 1): Date: Signature 3. 3. (Principal Management 2): Resume Complete f f all all individuals listed listed in #4 in #4 below. Date: below. Copy Copy the the fm fm as as needed. Signature 4. 4. (Principal Personal 3): Financial Statement(s) Complete the the SBA SBA fm fm f alldate: maj maj stockholders. A maj A maj stockholder is is Signature (Principal defined as as 4): anyone owning 20% 20% me me of the of the cpation s stock. stock. Date: If If company is a is a general partnership, all all general partners must must complete. All All statements are are to be to be dated dated the the same same date, date, not not over over 60 60 days days old. old. Copy Copy fm fm as as needed. Agreement: 5. Business Debt Schedule This schedule must be dated the same as the Interim Balance Sheet and reflect all By signing below, you certify that all the infmation you ve given with this application is true and complete. You outstanding liabilities as shown in the Interim Balance Sheet. Indicate by an asterisk (*) items to be paid by loan authize us to verify all statements with any source, obtain credit and employment histy, (including your spouse s, if you live proceeds. in a community Provide property copies of state) all notes and exchange which are infmation to be refinanced with others - if applicable. about your credit and account experience with us. You agree to provide additional infmation that we may require to proof this application 6. Schedule of Real Estate Owned including, but not limited to, true and complete federal income tax returns, employment verification and income verification. 5. 7. 5. Business Debt Infmation Debt Schedule Sheet This This schedule must must be be dated dated the the same same as as the the Interim Balance Sheet Sheet and and reflect reflect all all Please be outstanding advised you liabilities are not as required as shown shown in to the in obtain the Interim pay Balance f unwanted Sheet. Sheet. services. Indicate by by an However, an asterisk you (*) (*) also items items agree to be to to be paid paid by by loan loan reimburse In addition, the proceeds. Bank please f Provide its provide expenses copies copies of the incurred all of following: all notes notes which connection which are are to be to with be any refinanced credit - if commitment. - if applicable. These expenses include, but are not limited to: the Bank s background check services, appraisal, environmental services, and legal costs, and are 6. 8. payable Business 6. Schedule even of Financial of Real though Real Statements extension Estate Owned of & credit Tax may Returns: not be Last consummated. 3 years + Year-to-Date within 60 Days: 7. 7. Browing Business Entity: Infmation Sheet Sheet Year 3 Year 2 Year 1 YTD Principal (1): Print Name, Title: Authized Signature: In In addition, please provide the the following: Date: Social Security #: Date of Birth: Street 8. Address: 8. Accounts Business Payable Financial & Accounts Statements Receivable & Tax & City, Tax State, Returns: (if applicable). Zip Last Code: Last 3 years 3 If years subject + + loan Year-to-Date request within is within a Start-Up/Expansion, 60 60 Days: Days: please provide a projected operating statement f 2 years, with a monthly breakdown and assumptions of projections Browing Entity: f Entity: Year 1. Year Year 3 3 Year Year 2 2 Year Year 1 1 YTD YTD Principal 9. Projections (2): Print Name, f Start-UP/Expansion Title: (if applicable) Authized Signature: Date: 10. Personal Accounts Tax Payable Social & Security Returns & Accounts #: Complete Receivable federal tax (if (if returns applicable). Date and If all If of attached subject Birth: loan schedules loan request is f a is the a Start-Up/Expansion, past three (3) years Street Address: on please please each individual provide a a defined projected #3 above. operating City, After statement State, photocopying Zip f f 2 Code: years, 2 years, tax with returns, with a a re-sign monthly with breakdown blue ink and and affix assumptions current of date. of projections f f Year Year 1. 1. 11. Affiliate Infmation (same requirements as reflected in #11 above) An affiliate is considered to be a person 9. 9. Projections company f with f a Start-UP/Expansion financial stake in the (if applicant (if applicable) concern that influences, controls has the ability to influence Principal (3): control Print Name, the business Title: the applicant that of a related Authized entity. Signature: 10. 10. Personal Tax Tax Returns Complete federal tax tax returns and and all all attached schedules f f the the past past three three (3) (3) years years Date: Social Security #: Date of Birth: 12. Articles on on each each of individual Incpation defined and #3 #3 By-Laws, above. After After Fictitious photocopying Name tax Statement, tax returns, re-sign Business with with blue License, blue ink ink and Partnership and affix affix current date. date. Street Address: Articles of Organization City, State, TrustZip (whichever Code: 11. 11. Affiliate Infmation (same (same requirements as as reflected in #11 in #11 above) An An affiliate is is considered to be to be a a person 13. Other company Signed with Purchase with a a financial Agreement stake stake in the f in the Business applicant Real concern Estate, that that Franchise influences, controls has Supply has the the ability ability to to influence Lease control the the business etc. (whichever the the applicant that that of a of a related entity. entity. Principal (4): Print Name, Title: Authized Signature: Date: 12. 12. Articles of of Incpation Social Security and and #: By-Laws, Fictitious Name Name Date of Statement, Birth: Business License, Partnership Articles IMPORTANT of of Organization INFORMATION ABOUT Trust Trust PROCEDURES (whichever FOR is OPENING A NEW ACCOUNT Street To Address: help the government fight the funding of terrism and money laundering City, State, activities, Zip the USA Code: Patriot Act requires all financial institutions to obtain, verify, and recd infmation that identifies each person who opens an account. What this means f you: When you open an account, we will ask f your name, physical address, date of birth, taxpayer identification number and other infmation that will allow us to identify you. We may also ask to see your driver s license other identifying documents. We will let you know if additional infmation is required. 13. 13. Other Other Signed Purchase Agreement f f Business Real Real Estate, Franchise Supply Lease Lease etc. etc. (whichever is IMPORTANT INFORMATION ABOUT ABOUT PROCEDURES FOR FOR OPENING A NEW A NEW ACCOUNT