Business Banking Credit Application
LOAN INFORMATION
Request #1
Loan Amount: $
Secured Revolving
Line of Credit
Term Loan
Commercial Real
Estate Loan
Other (ACH)
Requested #1 - Use of Proceeds:
Proposed Collateral:
Estimated Collateral Value:
$
Request #2
Loan Amount: $
Secured Revolving
Line of Credit
Term Loan
Commercial Real
Estate Loan
Other (ACH)
Request #2 Use of Proceeds:
Proposed Collateral:
Estimated Collateral Value:
$
BUSINESS INFORMATION
Type of
Ownershi
p:
Sole Proprietorship General Partnership Limited Partnership Corporation Subchapter S Corp. LLC
Not for Profit
Other
Applicant’s Exact Name (Full Legal Name and DBA Name, if any):
Business Phone Number:
E-Mail Address:
( )
Federal Tax ID:
(MM/YYYY):
Years Under
Current Mgmt:
Annual Bus. Sales/Revenue as
of Most Recent Fiscal Yr.-end:
$
Annual Business Net Income as of
Most Recent Fiscal Year-end:
$
Facilities: Rent Owned
Monthly Rent/Mortgage: $
If a corporation, LLC or Limited
Partnership, then give the state of
incorporation or organization:
Total Business Assets:
$
Total Business Liabilities:
$
Location Address (Street Address Required – No P.O. Boxes)
Accounts Receivable Balance:
$
Total Cash and Equivalents:
$
City State ZIP Code County
Any Unsettled Lawsuits or
Judgments?
Any Tax Liens/Obligations
Outstanding?
Yes No Yes No
Business Description (Describe the Company’s Products and/or Services):
Has the Business Ever Filed for Bankruptcy?
Yes No If Yes, Explain:
BUSINESS DEPOSIT ACCOUNTS
Financial Institution Name
Business Account number
Checking Balance
Savings Balance
Flagstar Bank, FSB (Primary)
$
$
$
$
$
EXISTING BUSINESS LOANS
Financial Institution Name
Loan Type
Credit Limit / Current Balance
Monthly Payment
Collateral
Refinancing?
$ / $ $
Yes No
$ / $ $
Yes No
$ / $ $
Yes No
Important Information About Procedures for Opening a New Account. 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 person who opens an account. What this
means to you: When you open an account, we will ask you for your name, street address, date of birth and other information that will allow us to identify you.
We may also ask to see your driver’s license or other identifying documents. (Required for all guarantors.)
PERSONAL INFORMATION
This section to be completed by (1) individuals owning in the aggregate 80% of the Business, (2) each individual who owns 20% or more of the Business, and
(3) each guarantor. Use additional application if more space is needed.
#1 Name (Last)
(First)
(Middle)
Home Number
( ) -
Social Security Number
Date of Birth (MM/DD/YYYY)
Annual Household Income
Monthly Housing Payment
- -
$
Rent: $ Mortgage: $
Business Banking Credit Application
Unsecured Line of Credit
Unsecured Line of Credit
Home Address
Years at Address
Total Assets
Total Liabilities
$ $
City
State
ZIP Code
County
Retirement Account Balances (IRA, 401K)
Type and Percent Business Ownership
Title
Owner
Guarantor
Home Value
1
st
Mortgage Balance
2
nd
Mortgage Balance
$
$ $
#2 Name (Last)
(First)
(Middle)
Home Number
( ) -
Social Security Number
Date of Birth (MM/DD/YYYY)
Annual Household Income
Monthly Housing Payment
- -
$ Rent: $ Mortgage: $
Home Address
Years at Address
Total Assets
Total Liabilities
$ $
City
State
ZIP Code
County
Retirement Account Balances (IRA, 401K)
Type and Percent Business Ownership
Title
Owner
Guarantor
Home Value
1
st
Mortgage Balance
2
nd
Mortgage Balance
$ $ $
REPRESENTATIONS AND WARRANTIES
Additional Information/Conditions
As used in this section, "I," "me," and "my" refer to each person signing below as an authorized signer for the Business, an Owner, or a Guarantor, and "we,"
""us," and "our" refer to all of them, collectively.
I/We understand that Flagstar Bank, FSB (‘the Bank’) is relying on the information provided on and with this Application in deciding to make a loan(s) or
extend and/or modify existing extension(s) of credit. I/We promise that this is a true statement of my/our financial condition and the financial condition of the
Business as of the date of this Application. The Bank may rely on it as being true and correct until I/we otherwise notify it in writing. If this information is not
true in any material respect, I/we understand that the Bank may, at its election, declare any or all of my/our indebtedness and obligations to the Bank, direct or
contingent, and/or any of the Business’s indebtedness and obligations to the Bank,
direct or contingent, immediately due and payable without demand or notice.
I/We understand that the Bank may retain and verify this information and that, should additional information become available to the Bank after approval but
prior to closing this transaction which may influence the Bank’s decision to approve this Application, the Bank reserves the right to withdraw its approval.
If I am the authorized signer for the Business, I acknowledge that I am duly authorized to execute this Application on behalf of the Business and that, if
requested, I can supply the resolution or other document, containing such authorization.
I/We authorize the Bank to make any and all inquiries and/or investigations that the Bank deems necessary, in its sole discretion, upon my/our execution of this
Application and from time to time as long as any obligation or guaranty of me/us or any of us is outstanding, either directly or through any agency requested by
the Bank, to determine and/or verify my/our creditworthiness. I/We further authorize any person or consumer-reporting agency to provide you with any
information it may have relating to me/us in connection with the same.
If this Application is approved, the Business and each Guarantor will be bound by the terms and conditions governing the credit offered by the Bank.
I/We understand that if this Application is denied, I/we have the right to a written statement of the specific reasons for denial. To obtain the statement, I/we
must contact Flagstar Bank, Business Banking at 5151 Corporate Drive, Mail Stop: S-225-3, Troy, MI 48098, telephone number (800) 642-0039 within 60
days from the date that I/we are notified of the Bank’s decision. The Bank will send me/us a written statement of reasons for the denial within 30 days of
receiving my/our request for the statement.
NOTICE: The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against applicants on the basis of race, color, religion, national
origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant’s income derives
from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal
agency that administers compliance with this law concerning this creditor is the Consumer Financial Protection Bureau, 1700 G Street NW, Washington,
D.C. 20552.
I/We the undersigned represent and warrant that the information contained on this Application is true and correct.
Authorized Business Signature:**
Owner/Guarantor Signature:
Owner/Guarantor Signature
By: By: By:
Title:
Print Name:
Print Name:
Date: Date: Date:
Business Banking Credit Application
If you intend to apply for joint credit, please initial here: ________________ ______________
Applicant Co-Applicant
If the Authorized Business Signer is also an Owner or Guarantor, he/she must also sign individually
Bank Use Only:
Bank Sales Representative:
Banking Center #:
Contact Phone #:
( )
Banking Center Name:
Mail Stop:
Contact Fax #:
( )
Business Banking Credit Application