Fillable Business Loan Checklist (updated On 1-1-2016).pdf

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Business Loan Checklist (updated On 1-1-2016).pdf

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Business/Commercial Loan Checklist
BY SUBMITTING A COMPLETE LOAN PACKAGE,
YOU WILL ENSURE THE FASTEST PROCESSING POSSIBLE.
EVIDENCE OF INCOME
Individual and/or Sole Proprietor:
_______ Personal Financial Statement
_______ Copy of valid identification
_______ Personal tax returns (Form 1040 or 1040A) for most recent three years. Please include the
schedules with the tax returns.
_______ Paystubs for most recent 30-day period (if applicable).
Partnership, Limited Liability Company or Corporation:
_______ Personal Financial Statement
_______ Copy of valid identification
_______ Personal tax returns for most recent three years. Please include the schedules with the tax
returns.
_______ Business tax returns (Form 1120, 1120S or 1065) for most recent three years. Please include
the schedules with the tax return.
_______ Paystubs for most recent 30-day period (if applicable).
MISCELLANEOUS INFORMATION
______ Sales Contract for real estate purchases.
_______ Plans, specs and detailed cost breakdown for real estate construction requests.
_______ Buyers Order for automobile and/or equipment purchased from a dealer.
_______ Declarations page of Insurance Policy
Return this application to the Business Services department at the Watson Branch. You may also return it to your
nearest branch and it will be forwarded to the Business Services department. If you would like to mail your
application, please do so by sending it to:
Robins Financial Credit Union
P.O. Box 6849
Warner Robins, GA 31095
Attn: Business Services
If you have additional questions, please call the Business Services department at 478-923-3773 or
800-241-2405 and dial extension 2240.
In the event that additional information is necessary, a Business Services officer will contact you.
Submit
Robins Financial Credit Union
Confidential Personal Financial Statement
Answer all questions using “no” or “none” where necessary. Please begin by completing schedules on page 2.
Personal Information
Date of Statement:
Name (first, middle, last)
Birthdate
Social Security No.
Home Address (include apt.)
City, State, Zip
Home Phone Number
Business/Employer
Title /Position
How Long
Business Address
City, State, Zip
Work Phone Number
Do you have any dependents? If yes, list ages
Do you have a will? If yes, name of executor
Have you ever filed bankruptcy? If yes, explain
Are you a defendant in any suits or legal actions?
Joint Applicant’s Name:
Birthdate:
Social Security No.:
Assets
Liabilities
Cash, on hand and unrestricted in banks
From below
Notes payable to banks
Schedule 1
Accounts/Notes-receivable
Notes and accounts due others
Schedule 2
Schedule 1
Cash surrender value life insurance. (Do not deduct loans)
Loan(s) against life insurance
Schedule 3
Schedule 3
Stocks, bonds, US Govt. Securities
Brokers margin accounts
Schedule 4
Other stocks and bonds
Taxes accrued but unpaid
Schedule 4
Real estate at cost or market value
Mortgages payable on real estate
Schedule 5
Schedule 5
Retirement (IRA’s, 401k, TSP & Tax Deferred Accts)
Other Personal Assets - Itemize
Other Unsecured Liabilities - Itemize
Total assets =
Total liabilities =
Net Worth (
Subtract your total liabilities from total assets and enter figure to right) =
Income Information Monthly Annual
Alimony, child support or separate maintenance income need not be revealed if you do not
wish to have it considered as a basis for repaying this obligation.
Income taxes are settled through
Date:
Banking Relationships
Cash
Balance
Salary (Gross)
Name and Address of Bank
Single (S) Joint (J) Trust (T)
Bonus and commissions, dividends, interest
Rental income
Other – itemize (attach a second page if needed)
Total Income
Total Cash (take to assets above)
I warrant that there is no judgment against me, nor lien unsatisfied upon my property except as shown, nor prior suit pending against me in any court, that no bad or
doubtful assets are listed herein, that no assets are pledged in any manner not shown herein, and that this statement is true and complete and is offered for the purpose
of obtaining and maintaining credit. Signer(s) are aware that willful false statements about their financial condition and income are a violation of federal law 18 U.S.C
sec 1014. With joint credit, all applicants must sign.
(Seal)
(Seal)
Date Signature
Date Signature
Please Complete Schedules on Reverse Side.
Robins Financial Credit Union
Supplementary Schedules (Take totals to front) Attach additional pages if necessary
Schedule 1 Debts/Credit Lines (Include home equity and any other open-end revolving credit, even if unused)
Security given or
Credit
Original
Unpaid
Monthly
Name and Address of Bank
collateral (describe)
Line
Amount
Balance
Payment
Total
Schedule 2 Accounts, Loans, and Notes Receivable
Maturity
Description or
Description of
Repayment
Amount
Name and address of debtor
Date
nature of debt
security held
terms
owing
Total
Schedule 3 Life Insurance
Type of
Is policy
Face amount
Cash Surrender
Loans against
Yearly
Name of insured
Beneficiary
Insurance co.
policy
assigned?
of policy
value
policy
premium
Total
Schedule 4 Stocks, Bonds and US Government Securities
Description of
Security
Registered
Pledged
Market
Total
in Name of
Yes/No
No. of Shares
Value/Share
Market Value
Total
Schedule 5 Real Estate
Description or address
Title in
Date
Market
Tax
Original
Unpaid
Monthly
(include city and state)
Name of
Acquired
Cost
Value
Value
Amount
Balance
Payment
Total
Other Credit References
(Give names of banks, finance companies or
Date
Account
Number
Type of
Account
High
Credit
other concerns where credit has been obtained)
Name and address
_________________________________________________ _____________________________________________________
Date Signature
Date Signature
P.O. Box 6849 Warner Robins, GA 31095
Request for Information/Documentation
1. Three most recent years’ complete business tax returns (i.e., returns and all supporting schedules), or CPA-audited, -
reviewed, or -compiled statements and accompanying CPA notes/comments.
a. In addition to the most recent business tax returns or CPA financial statements, please provide your company’s
most recent interim (“year-to-date”) balance sheet and income statement. The interim statements can be self-
prepared if CPA-prepared interim statements aren’t available.
b. For companies which derive any income from rental properties: please provide the most recent year-end and
interim (“year-to-date”) rent rolls.
c. Schedule of company liabilities, including name of financial institution, current balance, interest rate, payment
terms, and brief description of collateral.
2. Updated (within last six months) “Robins Financial Credit Union” Personal Financial Statement (“PFS”), signed and dated,
from all guarantor(s), including a schedule of contingent debt (loans for which the person serves as co-signer, guarantor,
etc.), including repayment terms, rates, current balance, etc.
3. Three most recent years’ complete personal tax returns (i.e., returns and all supporting schedules) from all guarantor(s)
associated with the company, to include the following:
a. All pass-through entity tax returns (including C-Corps).
b. All K-1s in relation to their pass-through entities.
c. For guarantor(s) for “related” companies (that is, in addition to ownership in the company which is seeking
financing, the guarantor(s) may also own other such companies) which derive any income from rental property:
the most recent year-end and interim rent rolls.
To our member:
I hereby agree to allow my Robins Financial Credit Union Officer/or Credit Analyst to contact me or my CPA/accountant,
in the event that any questions related to my request should arise.
Name: ________________________________
Title: ________________________________
Company Name: ________________________________
My Contact Information: Phone-- ________________________________
Email-- ________________________________
CPA/Accountant: ________________________________
Contact Information: Phone-- ________________________________
Email-- ________________________________
Signature/Date: ________________________________
Your Robins Financial Credit Union Officer will review this information with you to ensure its accuracy. Should
you ever have any questions, please don’t hesitate to contact your Account Officer or any Credit Analyst. Rest
assured that Robins Financial Credit Union will treat this information and the answers to any questions we
may have in the strictest of confidence.
Please return the requested information to:
Robins Financial Credit Union
Business Services
Phone 478-923-3773 ext. 2240
Fax 478-322-7320
BusinessServices@robinsfcu.org
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Business Loan Checklist (updated On 1-1-2016).pdf

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Completed 6 July 2021

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