Thank you for your interest. The following loan application is required for all of our
finance products. If you have not y...
Introduction
BUSINESS LOAN EXPRESS
Welcome!

The Business Loan program has been specifically designed for small businesses...
Loan Request Form
BUSINESS LOAN EXPRESS
Affiliates: List below all business concerns in which the applicant Company or any...
Signature _____________________________________ Date _______________________

Title ______________________________________...
Ownership

List below all officers, directors, partners, owners, co-owners, and stockholders.
Name                        ...
Yes No

If yes, please explain: _______________________________________________________________


Education
College/Techni...
Authorization for Credit History Report
BUSINESS LOAN EXPRESS
The undersigned individual(s) hereby authorizes the release ...
Business History
Please provide the following information so we may learn more about your business.
BUSINESS LOAN EXPRESS
...
______________________________________________________________________________________
What are your future plans for growth?

__________________________________________________________________________________...
Projection of Revenue & Earnings

Year                                      200__                     200__
Gross Receipts...
Schedule of Existing Debt

Loan Account #                   Loan Account #                   Loan Account #
___________ __...
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Transcript of "Thank you for your interest in Business Loan Express.doc"

  1. 1. Thank you for your interest. The following loan application is required for all of our finance products. If you have not yet spoken to a Business Loan Express Representative or completed our online Brief Questionnaire to determine your most appropriate financing package, you may still fax or mail this completed application to us for review. You will be contacted by Business Loan Express to discuss next steps within 2 days of receiving your completed application. Fax To: minorityfinance.com (866) 867-3795 Mail To: Creative Investment Research, Inc. PO Box 55793 Washington, DC 20040 The following documents will be required for you to complete the application. 1. Business tax returns for the most current two years 2. Current business balance sheet 3. Current business cash balances of your checking and savings accounts (or personal accounts if business is not yet established) 4. List of all existing business loans including current balance and monthly payments 5. List of collateral available to secure the loan and an estimated value for each asset (business or personal assets may be used as collateral) Should you have any questions regarding the application or our products feel free to contact us at (866) 867-3795 . Thanks again for you interest and we look forward to working with you.
  2. 2. Introduction BUSINESS LOAN EXPRESS Welcome! The Business Loan program has been specifically designed for small businesses with debt capital requirements of up to $3 million. We understand the needs of small business owners and are committed to making the financing process as simple as possible. That’s why we have developed an easy application process for obtaining financing. This form will be reviewed by a national non-bank lender that specializes in providing small business loans to a variety of industries including: k Gas Stations/Convenience Stores k Hotels/Motels k Restaurants k Day Care Centers k Assisted Living Facilities k Professional Services k Retailers k Manufacturers Businesses use our loans to: k Purchase a business k Purchase real estate k Construct a building k Renovate existing property k Refinance debt k Provide additional working capital BUSINESS LOAN EXPRESS Enclosed are the following forms to be completed in order to facilitate a speedy application process: 1. Loan Request Form 2. Management Resume - to be completed by all principals and key managers 3. Authorization for Credit History Report 4. Business History 5. Personal Financial Statement - to be completed by all principals and spouses 6. Projection of Revenue and Earnings 7. Schedule of Existing Debt 8. Statement of Personal History 9. Request for Copy or Transcript of Tax Form In addition to the forms we have enclosed, please provide the following: 1. Business Financial Statements and Tax Returns, including all schedules for the last three fiscal year-end periods for the applicant Company and all affiliates. If the business is a start- up, please provide projections of operations along with the underlying assumptions. 2. Personal tax returns for the last three years on all individuals providing Personal Financial Statements. 3. Recent accounts receivable and payable aging, if applicable. Please complete the enclosed information to help us in processing your application as quickly as possible. All forms may be completed in ink or typewritten. Please sign and date all documents, including tax returns. If you have any questions, please email us at info@minorityfinance.com. We are ready to assist you.
  3. 3. Loan Request Form BUSINESS LOAN EXPRESS Affiliates: List below all business concerns in which the applicant Company or any of the individuals listed in the ownership section have any ownership. Use additional sheets if necessary. Company Name Owner Percentage of Ownership (applicant, company, or individuals) ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ Estimated Project Costs Your Money Other Sources Our Loan Total Funds Land acquisition $ __________ $ __________ $ __________ $ __________ New building construction __________ __________ __________ __________ Land and building acquisition __________ __________ __________ __________ Building improvements or repairs __________ __________ __________ __________ Acquisition of machinery/equipment __________ __________ __________ __________ Inventory purchase __________ __________ __________ __________ Working capital (including accounts payable) __________ __________ __________ __________ Acquisition of existing business __________ __________ __________ __________ Payoff bank loan __________ __________ __________ __________ Other debt __________ __________ __________ __________ Closing costs for BLX loan (if applicable) __________ __________ __________ __________ Total Amount $ __________ $ __________ $ __________ $ __________ Loan amount requested $ ___________________________ Collateral provided for loan: Address Property A Property B Fair Market Value Existing Lien(s) I certify that all of the above information is true and correct to the best of my knowledge and belief. I hereby authorize the release to Business Loan Express of all credit history and information required for the purpose of processing and evaluating the applicant’s credit transaction. The undersigned also permits Business Loan Express to release the applicant’s credit information and otherwise exchange information regarding applicant’s credit transaction to various business professionals involved in the transaction, including but not limited to, commercial real estate brokers, real estate agents, accountants, attorneys, the U.S. Small Business Administration, and third party financial institutions.
  4. 4. Signature _____________________________________ Date _______________________ Title __________________________________________ Loan Request Form Company Name ____________________________________________________________________________________ Phone (_____)_____________ Fax (_____)_______________ E-mail Address ____________________________________________________________________ Address ______________________________________________________________________________________ City ___________________________ State ________________ Zip ___________________________ Type of Business ________________________________________ Date Established ____________________________ Type of Entity: Corporation ___ Partnership ___ Sole Proprietorship ___ Limited Liability Company/Partnership ___ Other ________________________ Number of Employees Existing __________________ Expected After This Loan _____________________ Bank Name ______________________________________________ Phone (_____)__________________ Address ______________________________________________________________________________________ City ___________________________ State ___________________ Zip ___________________________ Accountant’s Name _________________________________________ Phone (_______)__________________________ Attorney’s Name ___________________________________________ Phone (_______)__________________________ Life Insurance Agent ________________________________________ Phone (_______)_________________________ Hazard Insurance Agent ______________________________________ Phone (_______)_________________________
  5. 5. Ownership List below all officers, directors, partners, owners, co-owners, and stockholders. Name Title Percentage of Annual Ownership Compensation From Borrower Personal Information Name _______________________________________________________ SSN ____________________________ Date of Birth ____________________________________ Place of Birth ___________________________________ Home Phone ____________________________________ Business Phone __________________________________ Present Address __________________________________________________________________________________ Street City State Zip Date _______________________________________ _______________________________________ From To Previous Address _________________________________________________________________________________ Street City State Zip Date _______________________________________ _______________________________________ From To Spouse’s Name _______________________________________________ SSN ____________________________ 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: _____________________ __________ Have any of the owners been arrested or convicted of any criminal offense other than a minor traffic violation?
  6. 6. Yes No If yes, please explain: _______________________________________________________________ Education College/Technical Training Dates Attended Major Degree/Certificate (Name and Location) (From-To) ________________________________________ _______________ __________ _________________ ________________________________________ _______________ __________ _________________ ________________________________________ _______________ __________ _________________ Military Service Background Branch of Service __________________________________________ Dates of Service ______________________ Work Experience: List chronologically beginning with present employment. 1. Company Name/Location _______________________________________________________________________ From ________________________ To ____________________________ Title _________________________ Duties _____________________________________________________________________________________ 2. Company Name/Location _______________________________________________________________________ From ________________________ To ____________________________ Title _________________________ Duties _____________________________________________________________________________________ 3. Company Name/Location _______________________________________________________________________ From ________________________ To ____________________________ Title _________________________ Duties _____________________________________________________________________________________ Signature ______________________________________________ Date _________________________ Please fill in all spaces. If an item is not applicable, please indicate. You may include additional relevant information on a separate exhibit.
  7. 7. Authorization for Credit History Report BUSINESS LOAN EXPRESS The undersigned individual(s) hereby authorizes the release to Business Loan Express of all credit history and information required for the purpose of processing and evaluating the applicant's credit transaction. The undersigned also permits Business Loan Express to release his/her credit information and otherwise exchange information regarding applicant's credit transaction to various business professionals involved in the transaction, including but not limited to, commercial real estate brokers, real estate agents, accountants, attorneys, the U.S. Small Business Administration, and third party financial institutions. 1. Name _____________________________________________ Signature Date ____________________________________________________ _______________________ Home Address Social Security Number ____________________________________________________ ______________________ 2. Name _____________________________________________ Signature Date ____________________________________________________ _______________________ Home Address Social Security Number ____________________________________________________ ______________________ 3. Name _____________________________________________ Signature Date ____________________________________________________ _______________________ Home Address Social Security Number ____________________________________________________ ______________________ 4. Name _____________________________________________ Signature Date ____________________________________________________ _______________________ Home Address Social Security Number ____________________________________________________ ______________________ Signature ______________________________________________ Date _________________________
  8. 8. Business History Please provide the following information so we may learn more about your business. BUSINESS LOAN EXPRESS Nature of business and/or services provided ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Describe your customer profile ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Key customers __________________________________ __________________________________ __________________________________ Key suppliers __________________________________ __________________________________ __________________________________ Major competitors __________________________________ __________________________________ __________________________________ Key risk factors __________________________________ for your business __________________________________ __________________________________ Date company acquired or began operation ______________________________________________________________ Were there any significant changes in the business during your control? Yes No If yes, explain: ______________________________________________________________________________________
  9. 9. ______________________________________________________________________________________
  10. 10. What are your future plans for growth? ______________________________________________________________________________________ ______________________________________________________________________________________ How will this loan benefit your company? ______________________________________________________________________________________ ______________________________________________________________________________________ Will the funding of this loan create new employment opportunities? Yes No If yes, explain: ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Signature _____________________________________ Date __________________________
  11. 11. Projection of Revenue & Earnings Year 200__ 200__ Gross Receipts $ ___________ ________ % $ ___________ ________ % Cost of Goods Sold $ ___________ ________ % $ ___________ ________ % Opening Inventory $ ___________ ________ % $ ___________ ________ % Materials $ ___________ ________ % $ ___________ ________ % Direct Labor $ ___________ ________ % $ ___________ ________ % Subcontract Cost $ ___________ ________ % $ ___________ ________ % Purchase $ ___________ ________ % $ ___________ ________ % Overhead $ ___________ ________ % $ ___________ ________ % Less Ending Inventory $ ___________ ________ % $ ___________ ________ % Total Cost of Goods Sold $ ___________ ________ % $ ___________ ________ % Gross Profit $ ___________ ________ % $ ___________ ________ % Expenses $ ___________ ________ % $ ___________ ________ % Officers’ Salaries $ ___________ ________ % $ ___________ ________ % (if corporation) $ ___________ ________ % $ ___________ ________ % Employee Wages $ ___________ ________ % $ ___________ ________ % Accounting and Legal $ ___________ ________ % $ ___________ ________ % Fees $ ___________ ________ % $ ___________ ________ % Rent $ ___________ ________ % $ ___________ ________ % Depreciation $ ___________ ________ % $ ___________ ________ % Supplies $ ___________ ________ % $ ___________ ________ % Electricity and Heat $ ___________ ________ % $ ___________ ________ % Telephone $ ___________ ________ % $ ___________ ________ % Repairs $ ___________ ________ % $ ___________ ________ % Taxes $ ___________ ________ % $ ___________ ________ % Insurance $ ___________ ________ % $ ___________ ________ % Bad Debt $ ___________ ________ % $ ___________ ________ % Miscellaneous $ ___________ ________ % $ ___________ ________ % (describe on separate $ ___________ ________ % $ ___________ ________ % sheet) $ ___________ ________ % $ ___________ ________ % Total Expenses $ ___________ ________ % $ ___________ ________ % Operating Profit $ ___________ ________ % $ ___________ ________ % Interest Expense (Income) $ ___________ ________ % $ ___________ ________ % Less: Federal Income Taxes $ ___________ ________ % Less: State Income Taxes $ ___________ ________ % Less Withdrawals (Proprietorship/Partnership) $ ___________ _____ % Net Profit After Taxes $ ___________ _____ % $ _________ ______ % Net Profit Remaining for Loan Payments ___________________________________ ___________________ ________ Name Title Date
  12. 12. Schedule of Existing Debt Loan Account # Loan Account # Loan Account # ___________ _________ ___________ _________ ___________ _________ Lender Lender Lender ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ Original Amount Original Amount Original Amount _________________ ___ _________________ ___ _________________ ___ Original Date Original Date Original Date ________________ ______ ________________ ______ ________________ ______ Present Balance Present Balance Present Balance __________________ ______________________ __________ ___________ Interest Rate _________ Interest Rate _________ Interest Rate _________ Maturity Date Maturity Date Maturity Date ______________ _____ __ ______________ _____ __ ______________ _____ __ Monthly Payment Monthly Payment Monthly Payment _________________ _________________ _________________ Collateral Collateral Collateral ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ _________ _________ __________ Current or Current or Current or Past Due Past Due Past Due ______________________ ______________________ ______________________ Amount to Amount to Amount to be refinanced be refinanced be refinanced ____________________ ____________________ ____________________ Please furnish the following information on all installment debts, contracts, notes, and mortgage payables. (Present balances should agree with the latest balance sheet submitted.)

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