Business/Commercial Borrower Application   Page 1 of 4 GENERAL INFORMATION To match your company with the appropriate lenders, offering the best rates, please answer all questions accurately. You will then be able to submit this one application to our entire database of lenders. After our proprietary software program compares your application against the lender profiles, you will be notified by email with a list of lenders who would likely be able to provide you with the financing your company is seeking. From that list you can select those specific lenders to which you would like to submit your completed application. At that point, the lenders you select will receive your application and will contact you directly. Note: All fields with an asterisk(**) next to it must be completed      Legal name of company DBA     Physical business address Mailing address Address1 ** Address2 City ** State Choose a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ** Zip ** Address1 ** Address2 City ** State Choose a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ** Zip **     Business phone Number of employees: ( ) - *** **     Business fax Organizational structure ( ) - *** Please Select One C-Corp S-Corp Partnership Sole Proprietorship LLC LLP Other     Federal tax I.D. # Publicly or privately held? - ** Publicly held Privately held     Email address: **       How long has the company been in operation? If Public, traded on which exchange:   Years Months ** Please Select One NASDAQ NYSE AMEX OTC PINK SHEETS PACIFIC STOCK EXCHANGE FOREIGN EXCHANGE OTHER **     How long has the company been under the current ownership/management?     Years Months **       Amount of requested financing or available credit line: (Note: Please Do not include commas or periods ) Minimum Amount $  Maximum Amount $  Preferred Amount $  If privately held, list all officers, directors, partners, owners, co-owners, and stockholders with 20% or more of total stock issued, and for each shareholder list total income, outside income, liquid assets, and net worth excluding net worth of closely held companies.         If this is a refinance (replacement financing), select an item from the pull down menu and then describe below:   Type of loan Rate Fees Collateral Formulas Term       SIC Code help (NOTE: Each SIC Code must be either two or four digits and separated by commas. Example: 5812, 47310101, 473102, 73 etc.) Is an individual(s) at your company willing to sign a validity guarantee? Yes No Maybe     Purpose of loan   acquisition other construction real estate purchase equipment/vehicles real estate refinance expansion software finance receivables working capital inventory       We are seeking the following type(s) of loan Select one or more:   Business credit cards Commercial real estate purchases Employee buyouts Equipment lease Equipment purchase Factoring of receivables (recourse or non-recourse) Financing Financing of receivables Franchise purchase General lines of credit General working capital Import or export Inventory financing Letters of credit Leveraged buyouts Mergers and acquisitions Mezzanine financing New construction projects Purchase order financing Real estate development Roll-ups SBA loans SBIC loans Short-term bridge loans Turnaround or DIP (debtor in possession, a chapter 11 bankruptcy reorganization) What is the highest rate you would accept for the type of financing you are seeking? (Please list the highest rate you would consider, as you will be matched with all lenders offering rates at that rate or better for financing your company). Prime + %**   What is your current rate? Is this rate per year or per month? Current Rate: %** Per year Per month         Are you interested only in lenders who operate local branches in your home state?” For more choices we recommend you select no, unless this is a requirement for your lending relationship. Yes No     If yes, choose state   Choose a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming     What collateral are you pledging for this loan? Accounts receivable, inventories, work in progress, land, buildings, equipment, notes receivable, personal assets? What is the current value of the asset you are pledging?

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