Fillable Business Secured L-L- Application Print (American Savings Bank Hawaii)

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Business Secured L-L- Application Print (American Savings Bank Hawaii)

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Page 1 of 6
Savings Bank
Business Loan and Line Application – Secured
19B055.1 (4/19) © 2019 American Savings Bank, F.S.B.
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Business Profile Questions
Has the business or principal ever declared bankruptcy?
Are there any delinquent state or federal taxes owed by the
business or principals?
Does the business or principals have any open liens, collections or
judgements?
Is the business or principal a party to any current lawsuit or countersuit?
Is the business for sale or under agreement that would change
the ownership of the business?
Is the business or principal an endorser, guarantor, or co-maker
for any obligations not listed on the Existing Business Loans Section
(or the financial statement).
Has the business incurred a loss in any of the last three years?
Are any business or personal assets held in trust?
Are any assets currently pledged as collateral?
Is the business currently applying for credit with another lender?
If yes, please provide an explanation
Borrower Information
Yes No
Yes No
Business contact name:
Business email:
Business industry description:
(Nature of business, description of products and services, and types of clients served)
Date business established:
Present ownership since:
State of organization:
Number of employees:
Annual gross sales/revenues:
Percentage of sales derived from cash:
Annual net profit/loss:
Is ASB your primary bank:
If no, who is your primary bank?
C - Corporation
General Partnership
Limited Liability Company
Limited Partnership
Individual/Sole Proprietor
S - Corporation
Other_______________________________
________________________________________
Legal status:
Legal name:
Doing business as:
Tax ID Number:
Business physical address (No P.O. Boxes)
Mailing address:(if different)
Number of business locations:
Address 1:
Address 2:
City: State: Zip:
Is this the mailing address:
Business
website:
Business
phone:
For non-profits or charities, describe the donor base and
intended beneficiaries:
%
Name of Trust:
Trustees:
Page 2 of 5
Existing Business Loans (include debt already held with American Savings Bank)
Current Balance
Original/Committed
Amount
Yes
No
Yes
No
Refinance
with loan
proceeds?
Lender Loan Type
Collateral Description
Monthly Payment
Term Loan
Line of Credit
Other_________________________
Term Loan
Line of Credit
Other_________________________
19B055.1 (4/19) © 2019 American Savings Bank, F.S.B.
Mahalo for letting us help your business. We will be happy to assist you in completing this application.
Savings Bank
Business Loan and Line Application – Secured
Cash
Accounts Receivable
Inventory
Equipment
(Please describe)
Vehicles
(Please describe)
Other
(Please describe)
Proposed Collateral
Type Value
Principals, Guarantors and Signers
Name Ownership Title
Ownership Summary
(Please list all owners whether applying as a borrower/guarantor or not. Must equal 100%.)
Credit Request
Amount Requested Request Type Purpose
Line of Credit
Term Loan
SBA Express
Line of Credit
New Increase
Line Loan
New
New
Minimum
Limit
Maximum
Limit
SBA Express
Term Loan
Savings
Secured
New
$250,000
$250,000
$25,000
$25,000 $50,000
$25,000 $50,000
$10,000 $250,000
$50,000
Loan Term Requested:
12 24 36 48 60 months Other____________
Yes No
Are you an existing ASB Customer:
If you have an existing ASB Checking Account please provide the number here:
(This account will be used for automatic payment & deposit of proceeds)
%
%
%
%
Page 3 of 5
19B055.1 (4/19)
© 2019 American Savings Bank, F.S.B.
Mahalo for letting us help your business. We will be happy to assist you in completing this application.
Savings Bank
Business Loan and Line Application – Secured
COPY AND ATTACH SEPARATE SHEET IF NECESSARY.
Principal, Guarantor, Signer #1
State Driver’s
License
State
Identification
Passport
Military
Identification
Yes No
US citizen:
If no please provide
permanent resident #:
Number
Title: Percent ownership in business: Social Security Number: Date of birth:
Date ExpiredDate Issued
Mailing Address: Line 1:
Mailing Address: Line 2:
City: State: Zip:
Email:
Monthly income: Total liquid assets:*
Borrower Member Officer Partner Trustee
Capacity of signer:
Principal type:
Signer & guarantor Guarantor Signer
First name: Middle initial: Last name: Suffix:
* Liquid assets include: cash, certificates of deposit; marketable securities & bonds,
cash surrender value of life insurance and similar assets
Yes No
Existing customer:
If no please provide primary ID:
Primary
phone:
Principal, Guarantor, Signer #2
State Driver’s
License
State
Identification
Passport
Military
Identification
Yes No
US citizen:
If no please provide
permanent resident #:
Number
Title: Percent ownership in business:  Social Security Number: Date of birth:
Date ExpiredDate Issued
Mailing Address: Line 1:
Mailing Address: Line 2:
City: State: Zip:
Email:
Monthly income: Total liquid assets:*
Borrower Member Officer Partner Trustee
Capacity of signer:
Principal type:
Signer & guarantor Guarantor Signer
First name: Middle initial: Last name: Suffix:
* Liquid assets include: cash, certificates of deposit; marketable securities & bonds,
cash surrender value of life insurance and similar assets
Yes No
Existing customer:
If no please provide primary ID:
Primary
phone:
Agreement
PLEASE READ AND SIGN:
By signing below, you are asking, on behalf of the company identified above (the “Company”), American Savings Bank (the
“Bank”) to open a PowerLine revolving line of credit and/or a ProTecLine overdraft line of credit, and/or make a PowerLine term loan to the Company. By signing
below, you certify that you are authorized to sign this application in the capacity designated below on behalf of the Company pursuant to the authorization submit-
ted to the Bank with this application, and that all of the above information and any information submitted with this application, including but not limited to any
addendum, financial statements or supplemental documents is true and correct. You also authorize American Savings Bank to verify the information you have
provided to the Bank above and in connection with this application and to receive and exchange credit information about the Company and any principal owner(s)
of the Company, both now and in the future. You understand and agree that, if the Company requests a PowerLine revolving line of credit or a PowerLine term
loan in an amount greater than $100,000, the Company authorizes the Bank to consider this as an application for a commercial revolving line of credit or a
commercial term loan respectively. By signing below, you are agreeing that, if this application is approved, the Company shall be subject to all of the terms and
conditions of the PowerLine/ProTecLine/Term Loan Agreement (individually and collectively, the “Agreement”), and that the Company will be liable for all fees and
charges charged pursuant to the Agreement. You understand and agree that if the Bank approves Company's loan, Company authorizes Bank to disburse the
loan proceeds to an account at the Bank. You agree that required monthly payments under PowerLine revolving line of credit and/or ProTecLine overdraft line of
credit and/or a PowerLine term loan will be automatically deducted from the American Savings Bank business checking account listed on the front of this applica-
tion, and you agree to maintain the business checking account until all of the credit we have extended to you pursuant to this application is paid in full. In addition,
if an Event of Default occurs under the Business PowerLine/ProTecLine/Term Loan Agreement, the Bank may apply the funds held in the business checking
account to the outstanding principal balance of the credit facility. By signing below, the Company is hereby granting the Bank a Uniform Commercial Code
security interest in the American Savings Bank business checking account identified on the front of this application and any other deposit accounts
the Company maintains with the Bank to secure any current or future indebtedness the Company has with the Bank and authorize the Bank to file
one or more UCC-1 Financing Statements to perfect the Bank’s security interest in any other collateral securing the Company’s obligations under the
Agreement.
CONSENT TO ELECTRONIC DELIVERY OF DISCLOSURES AND NOTICES; ELECTRONIC SIGNATURES:
T
his loan is not for personal,
family, or household purposes; it is not a consumer transaction. By signing below, you consent to the electronic delivery of disclosures, notices, terms and
conditions, other account specific documents, and future changes to such disclosures and documents. You also agree that American Savings Bank does not
need to provide you with additional paper (non-electronic) copies of disclosures, notices, terms and conditions, other account specific documents, and future
changes to such disclosures and documents. Nevertheless, your consent does not prohibit American Savings Bank from providing disclosures and notices in
paper form. Also by signing below, you agree that the provisions of the Electronic Signatures in Global and National Commerce Act, 15 USC Ch. 96, and the
Uniform Electronic Transactions Act, Haw. Rev. Stat. Ch. 489E, apply to this transaction.
LLC Authorization
The undersigned Member Managers of the Company identified above, hereby certify as follows: (1) The Company is a limited liability company duly organized
under the laws of the State of its organization ; (2) The undersigned Members have the full authority to execute this Authorization; (3) The Member Managers are
authorized to submit this application and establish the credit facilities requested in this application; and (4) The signatures and titles of the signors of this applica-
tion are the genuine signatures and titles of the persons indicated.
Partnership Authorization
The undersigned general partners of the Company identified above (the “Partners”) hereby certify to the Bank as follows: (1) The partnership is duly organized
under the laws of the State of its organization ; (2) The Partners are all of the general partnership of the Company; (3) The Partners have the full power and
authority to execute this authorization and this application on behalf of the Company; (4) The Partners hereby ratify all actions previously taken and to be taken
in connection with this application and the credit extensions requested in the application; and (5) the Partners are jointly and severally liable for any indebtedness
incurred by the Company in connection with this application.
CreditLine/ProTecLine Annual Renewals
If the Credit Facility is a CreditLine and/or ProTecLine, the Bank may, in its sole and absolute discretion, renew the Credit Facility for an additional year under
terms and conditions satisfactory to the Bank, based upon a review of the Borrower’s performance under this Agreement and other underwriting criteria used by
the Bank from time to time. If the Bank renews the Credit Facility and extends the Termination Date, any new terms and conditions applicable to the renewal of
the Credit Facility and the new Termination Date will be communicated to the Borrower. If the Bank does not renew the Credit Facility, the Borrower must
immediately pay the entire principal balance of the CreditLine and/or ProTecLine and any accrued but unpaid interest, fees and charges in full. If the Bank does
not renew the Credit Facility, the Bank, in its sole and absolute discretion, may offer to convert the entire outstanding principal balance of the CreditLine and/or
ProTecLine and any accrued but unpaid interest, fees and charges to a Term Loan on the terms contained in the Commitment. If the Bank offers to convert the
Credit Facility to a Term Loan, the Borrower shall pay any applicable conversion fee then in effect, make payments on the Term Loan
*
and pay interest on the
principal balance of the Term Loan at the interest rate then in effect for Term Loans made to similar borrowers for the same or similar loan terms or any lesser
rate the Bank determines in its sole discretion. If the Bank offers to convert the Credit Facility to a Term Loan, the Bank will provide the Borrower with the
Commitment prior to the Termination Date, which shall include the interest rate applicable to the Term Loan, the maturity date for the Term Loan, the required
minimum monthly payment, the amount of the conversion fee, and any other terms the Bank applies to the Term Loan in its sole discretion. By making the new
required minimum monthly payments, the Borrower will be agreeing to the new terms and conditions of the Term Loan. Although the Bank may offer to convert
the Credit Facility to a Term Loan, the Borrower acknowledges and agrees that the Bank is not obligated in any way to do so. If the Borrower does not accept the
terms applicable to the Term Loan by making payments on the Term Loan, the Borrower must immediately pay the entire principal balance of the Credit Facility,
plus any accrued but unpaid interest, fees and charges.
Page 4 of 5
19B055.1 (4/19) © 2019 American Savings Bank, F.S.B.
Mahalo for letting us help your business. We will be happy to assist you in completing this application.
Savings Bank
Business Loan and Line Application – Secured
* The outstanding principal balance under the Credit Facility shall bear interest at a fixed interest rate per annum as indicated in the Commitment.
Interest shall be calculated on the basis of the actual number of days the unpaid principal balance is outstanding divided by a 365 or 366 day year
as appropriate.
19B055.1 (4/19)
Page 5 of 5
© 2019 American Savings Bank, F.S.B.
Mahalo for letting us help your business. We will be happy to assist you in completing this application.
Savings Bank
Business Loan and Line Application – Secured
Important Notices
USA PATRIOT ACT NOTICE
IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT OR FOR A REQUEST FOR CREDIT
To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record
information that identifies each individual or business that opens an account or requests credit.
What this means for individuals: When an individual opens an account, or requests credit, we will ask for their name, address, date of birth, Social Security
Number and other information that allows us to identify them. We may ask to see their driver’s license or other identifying documents.
What this means for businesses: When a business opens an account or requests credit, we will ask for the business name, business address, Employer
Identification Number, and other information that allows us to identify the business and signatories. We may ask to see other identifying documents showing
existence of the business.
USA PATRIOT ACT, Section 326
NOTICE OF NEGATIVE INFORMATION DISCLOSURE
We may report information about your account to credit bureaus. Late payments, missed payments, or other defaults on your account may be reflected in
your credit report.
SIGNATURE INSTRUCTIONS: ALL APPLICANTS AND GUARANTORS, WHETHER SOLE PROPRIETORSHIPS OR BUSINESS PRINCIPALS, MUST
COMPLETE THE APPLICATION AND SIGN BELOW. CORPORATIONS MUST ALSO COMPLETE AND SIGN THE CORPORATE AUTHORIZATION BELOW
WHICH AUTHORIZES THE SUBMISSION OF THIS APPLICATION ON BEHALF OF THE COMPANY.
SIGNATURE PRINT NAME DATE
SIGNATURE PRINT NAME DATE
SIGNATURE PRINT NAME DATE
SIGNATURE PRINT NAME DATE
Corporate Authorization
The undersigned Secretary of the Company identified above, hereby certifies as follows: (1) The Company is a corporation duly organized under the laws of
the State of its organization (2) The undersigned has the full authority to execute this Authorization; (3) The powers set forth in this Authorization were granted
by resolutions adopted at either a board of directors meeting duly held at which a quorum was present or votes or by unanimous written consent of said board;
(4) The Company is authorized to submit this application and establish the credit facilities requested in this application; (5) The persons signing this application
are duly authorized to do so by the Company; and (6) The signatures and titles of the signors of this application are the genuine signatures and titles of the
persons indicated.
COMPANY SECRETARY – SIGNATURE PRINT NAME DATE
BANK USE ONLY
DATE APPLICATION TAKEN:
BRANCH APPLICATION
In person By mail By telephone
Yes No
CONTACT TELEPHONE
REFERRING RMRELATIONSHIP MANAGER
BRANCH
NAICS CODE:
http://www.naics.com/search/
APPLICATION FEE:
SOURCE OF APPLICATION:
DATE APPLICATION SUBMITTED:
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Business Secured L-L- Application Print (American Savings Bank Hawaii)

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Completed 15 July 2020

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