COMMERCIAL LOAN APPLICATION PACKAGE

COMMERCIAL LOAN REQUEST FORM Infrmatin Checklist The fllwing checklist will help yu gather the necessary infrmatin fr the initial evaluatin f yur cmmercial lan request. The mre cmplete the infrmatin, the faster yur applicatin will be prcessed. Shuld yu have any questins, please d nt hesitate t cntact yur Relatinship Officer r Lan Cnsultant. Cmmercial Lan Applicatin Management Resume One must be prvided fr each member f the management team, wners, partners, directrs r significant stckhlders. Authrizatin t Pull Credit Histry Reprts Must be cmpleted and signed by all critical members f the management team and any guarantrs and wners. Cmpany Histry Business Financial Statements Financial statements fr the last 3 years. They must either be audited, r must be dated and signed by wners r management. If balance sheet is mre than 90 days ld, an interim financial statement must als be prvided, which is nt mre than 45 days ld. Accunts Receivable Aging N mre than 45 days ld. Accunts Payable Aging N mre than 45 days ld. Inventry Reprt N mre than 45 days ld. Schedule f Business Debts Detailed as f the date f any interim financial statements. Business Tax Returns Fr the past 3 years and the mst recent perid Prjectins Minimum 3 years prjectins. Must be sure t include assumptins that supprt the prjectins. Persnal Financial Statements Frm can be prvided r they can be accuntant prepared. Must be signed and dated by individual. They shuld be n mre than 30 days ld. Guarantr Tax Returns Fr the past 3 years Request fr Transcript f Tax Return (Frm 4506-T) Fr the business and any guarantrs, if required. Other Other Other 2 f 14

Fr Cmmercial Real Estate Lans Purchase Cntract r Buy/Sell Agreement Must be sure t include all exhibits and addenda New Cnstructin Budget r Cntract COMMERCIAL LOAN REQUEST FORM Infrmatin Checklist Budget Cntract Plans Specificatins Refinancing Infrmatin Cpy f Prmissry Nte, including any extensins r amendments Cpy f Deed f Trust, including any extensins r amendments Appraisal Mst recent appraisal Mst Recent Tax Appraisal Prperty legal descriptin Fr Acquisitin Lans Purchase Cntract r Buy/Sell Agreement, including all exhibits and addenda Financial infrmatin f business t be acquired (histrical and prjected) Fr Purchases f Equipment r Machinery Purchase rder r invice Detailed descriptin and specificatins f equipment t be purchased Appraisal f machinery r equipment (if available) If refinancing, please prvide Detailed list f equipment and machinery t be refinanced Serial numbers Date f purchase r age f equipment Cpy f riginal financing ntes 3 f 14

COMMERCIAL LOAN REQUEST FORM COMPANY NAME PHONE ( ) - FAX ( ) - EMAIL ADDRESS CITY STATE ZIP TYPE OF BUSINESS DATE ESTABLISHED TYPE OF ENTITY: [] CORPORATION [] PARTNERSHIP [] SOLE PROPRIETORSHIP [] LIMITED LIABILITY CORP./PARTNERSHIP [] OTHER NUMBER OF EMPLOYEES EXISTING PROPOSED AFTER LOAN REFERENCES: BANK NAME PHONE ( ) - ADDRESS CITY STATE ZIP ACCOUNTANT S NAME PHONE ( ) - ATTORNEY S NAME PHONE ( ) - LIFE INSURANCE AGENT PHONE ( ) - HAZARD INS. AGT PHONE ( ) - OWNERSHIP: list belw all fficers, directrs, partners, c-wners and stckhlders f significance. NAME TITLE 4 f 14 PERCENTAGE OWNERSHIP % % % % % % % % % ANNUALCOMPENSATION FROM BORROWER

COMMERCIAL LOAN REQUEST FORM AFFILIATES List belw all entities in which the cmpany r any f the individuals listed in its wnership have a cntrlling interest. Use additinal sheets if required. AFFILIATE NAME RELATED OWNERSHIP PERCENTAGE OWNERSHIP % % % % % ESTIMATED PROJECT BUDGET ITEM EQUITY OTHER SOURCES BANK LOAN TOTAL COST Land acquisitin New cnstructin Land and building acquisitin Building imprvements and repairs Acquisitin f machinery and equipment Inventry purchase Wrking capital needs (including accunts payable) Acquisitin f an existing business Repayment r refinancing f debts [+] Clsing csts Other [+] TOTAL AMOUNT [+] SPECIFY: LOAN REQUESTED: 5 f 14

COMMERCIAL LOAN REQUEST FORM COLLATERAL OFFERED FOR LOAN DESCRIPTION ESTIMATED MARKET VALUE EXISTING LIENS PERSONAL GUARANTEES OFFERED NAME, ADDRESS & SOCIAL SECURITY NUMBER NET WORTH RELATIONSHIP I/we certify that all f the abve infrmatin is true and crrect t the best f my/ur knwledge and belief. I/we hereby authrize the release t Clnial Savings, F.A. f all credit histry and infrmatin required fr the purpse f prcessing and evaluating the applicant s credit transactin. The undersigned als permit(s) Clnial Savings, F.A. t release the applicant s credit infrmatin and therwise exchange infrmatin regarding applicant s credit transactin t varius business prfessinals invlved in the transactin, including but nt limited t, cmmercial real estate brkers, real estate agents, appraisers, accuntants, attrneys, the U.S. Small Business Administratin, and third party financial institutins. SIGNATURE TITLE DATE SIGNATURE TITLE DATE SIGNATURE TITLE DATE SIGNATURE TITLE DATE 6 f 14

COMPANY HISTORY Please help us learn abut yur business. Yu may include any relevant infrmatin r supprting dcumentatin as a separate exhibit. Nature f the business and services prvided Describe yur custmer prfile KEY CUSTOMERS KEY SUPPLIERS MAJOR COMPETITORS KEY RISK FACTORS FOR THE BUSINESS Date cmpany was acquired r began peratins Any significant changes during cntrl? [] YES [] NO If YES, explain What plans fr future? Hw will the lan requested help the cmpany? Will this funding generate emplyment? SIGNATURE DATE

AUTHORIZATION TO PULL CREDIT HISTORY REPORTS The undersigned individual(s) hereby authrize(s) the release t Clnial Savings, F.A. f all credit histry and infrmatin required fr the purpse f prcessing and evaluating the applicant s credit transactin. The undersigned als permit(s) Clnial Savings, F.A. t release his/her credit infrmatin and therwise exchange infrmatin regarding the applicant s credit transactin t varius business prfessinals invlved in the transactin, including but nt limited t, cmmercial real estate brkers, real estate agents, appraisers, accuntants, attrneys, the U.S. Small Business Administratin, and third party financial institutins. 1. Name Signature Hme Address Birth Date / / SSN - - Date / / 2. Name Signature Hme Address Birth Date / / SSN - - Date / / 3. Name Signature Hme Address Birth Date / / SSN - - Date / / 4. Name Signature Hme Address Birth Date / / SSN - - Date / / 5. Name Signature Hme Address Birth Date / / SSN - - Date / /

MANAGEMENT RESUME Please fill all spaces. If an item is nt applicable r the infrmatin is nt available, please indicate. Yu may include any relevant infrmatin r supprting dcumentatin as a separate exhibit. PERSONAL INFORMATION NAME SSN - - DATE OF BIRTH WHERE? HOME ( ) - BUSINESS ( ) - EMAIL ADDRESS FROM TO PREVIOUS ADDRESS FROM TO SPOUSE SSN - - ARE YOU A U.S. CITIZEN? [] YES [] NO, Alien Registratin Number EDUCATION SCHOOL DATES MAJOR DEGREE MILITARY SERVICE BRANCH DATES OF SERVICE WORK EXPERIENCE Begin with mre recent experience and list chrnlgically, 1. Cmpany name & lcatin Frm T Title Duties 2. Cmpany name & lcatin Frm T Title Duties 3. Cmpany name & lcatin Frm T Title Duties SIGNATURE DATE

PERSONAL FINANCIAL STATEMENT As f Please cmplete this frm fr (i) each prprietr, (ii) each partner wning 20% r mre f the business, (iii) any general partners regardless f their wnership, (iv) each stckhlder wning r cntrlling 20% r mre f the stck and (v) any persn r entity that is prviding a guarantee fr the lan. NAME BUSINESS PHONE RESIDENCE ADDRESS HOME TELEPHONE OTHER PHONE CITY STATE ZIP EMAIL BUSINESS NAME OF APPLICANT OR BORROWER ASSETS LIABILITIES Cash n hand and in banks Accunts Payable Savings Accunts Ntes payable t banks and thers (Sectin2) IRA and ther retirement Aut Lans accunts Mnthly Pmt Accunts and Ntes Installment Lans Other Receivable Mnthly Pmt Life Ins. Cash Surrender Lan n Life Insurance Value (Sectin 8) Stcks and Bnds Mrtgages n Real Estate (Describe Sectin 3) (Describe in Sectin 4) Real Estate Unpaid Taxes (Describe in (Describe in Sectin 4) Sectin 6) Autmbile Present Value Other Liabilities (Describe in Sectin 7) Other Persnal Prperty (Describe in Sectin 5) TOTAL LIABILITIES Other Assets (Describe in Sectin 5) NET WORTH TOTAL ASSETS TOTAL Sectin 1: SOURCES OF INCOME CONTINGENT LIABILITIES Salary As endrser r c-maker Net Investment Incme Legal claims & judgments Real Estate Incme Prvisin fr Federal Incme Tax Other Incme (Describe Other Special Debt belw) Descriptin f Other Incme in Sectin 1 (Dn t include alimny r child supprt unless yu want it t be included in ttal incme)

PERSONAL FINANCIAL STATEMENT Sectin 2: NOTES PAYABLE TO BANKS AND OTHERS (Use attachment if necessary. Attachment t be dated and signed) NAME AND ADDRESS OF NOTE HOLDER (S) ORIGINAL BALANCE CURRENT BALANCE PAYMENT AMOUNT PAYMENT BASIS SECURED/GUARANTEED/ COLLATERAL Sectin 3: STOCKS & BONDS (Use attachments if necessary. Each attachment must be signed and dated) NUMBER OF SHARES NAME OF SECURITIES COST MARKET OR EXCHANGE QUOTE DATE OF QUOTE TOTAL VALUE Sectin 4: REAL ESTATE OWNED (List each parcel separately. Use attachment if necessary. Attachment must be signed and dated) PROPERTY A PROPERTY B PROPERTY C TYPE OF PROPERTY ADDRESS DATE PURCHASED ORIGINAL COST MARKET VALUE LIEN HOLDER NAME & ADDRESS MORTGAGE LOAN # MORTGAGE BALANCE MONTHLY/YEARLY PAYMENT STATUS OF MORTGAGE Sectin 5: OTHER PERSONAL PROPERTY AND OTHER ASSETS (Describe and specify if pledged, stating name and address f lien hlder, amunt f lien, terms f payment and delinquency status)

PERSONAL FINANCIAL STATEMENT Sectin 6: UNPAID TAXES (Describe type, t whm payable, when due, amunt, any prperty related and if any tax lien is attached) Sectin 7: OTHER LIABILITIES (Describe in detail) Sectin 8: LIFE INSURANCE HELD (Give the face amunt, cash surrender value f plicies, name f insurance cmpany and beneficiaries) I authrize Clnial Savings, F.A. t make inquiries as necessary t verify the accuracy f the statements made and t determine my creditwrthiness. I certify the abve and the statements cntained in the attachments are true and accurate as t the stated date(s). These statements are made with the purpse f either btaining a lan r guaranteeing a lan. I understand FALSE statements may result in frfeiture f benefits and pssible prsecutin under federal and state laws. SIGNATURE DATE SOCIAL SEC. # SIGNATURE DATE SOCIAL SEC. # PLEASE NOTE: This frm shuld take abut 1½ hurs t cmplete. If yu have any questins r cmments cncerning the infrmatinal requirements cntained in this frm r any ther aspect f the infrmatin, please d nt hesitate t cntact yur nearest branch r yur lan fficer. If yu have an accuntant that helps yu with the preparatin f yur tax returns, he/she may be able t assist yu in cmpleting this frm. Hwever, the frm must be signed and dated by the individuals whse infrmatin is being submitted.

REQUEST FOR TRANSCRIPT OF TAX RETURN