Business Financing Application
CREDIT REQUEST
PRODUCT TYPE
INTEREST RATE
# MONTHS
AMOUNT REQUESTED
N/A
$_______________________
_____________ (1to84)
$_______________________
Business“Ready-Cash”TermLoan
_____________ (1to120)
$_______________________
Business“Ready-Cash”LineofCredit
_____________ (1to84)
$_______________________
_____________ (upto25yrs)
$_______________________
N/A
$_______________________
BusinessLineofCredit
Fixed
BusinessTermLoan
Fixed
CommercialRealEstateMortgage
Variable
Variable
LoanGuaranteedbySBA
ExpectedUseofFunds
COMPANY INFORMATION
BusinessName
TaxID#
BusinessAddress
City
Telephone
State
E-MailAddress
Zip
Fax
COMPANY TYPE (PLEASE CHECK ONE)
RegularCorporation
SoleProprietorship
SCorporation
LimitedLiability
Company
Non-ProfitOrganization
Partnership
DateOwnershipBegan
#ofEmployees
DescribeNatureofBusiness
(e.g.retailer,manufacturer)
Other(Explain)
NAICSCode
(ifavailable)
COMPANY PERFORMANCE
1.Hasthecompanyoperatedatalossduringthepast3years?
Yes
No
2.Hasthecompanyoranyofitsprincipalsdeclaredbankruptcyinthepast10years?
Yes
No
Yes
No
3.Howmuchdoyouoweinpastduetaxesforprioryears?_____________________________________
4.Isthebusinessoranyofitsprincipalscurrentlyinvolvedinanypendingorongoinglitigation?
PrimaryBankBusinessRelationship______________________________________________________________________
Branch # ___________________ (Bank Use Only)
Member FDIC
EBM-743A 2/15
Equal Housing Lender
Page1 of8
BusinessFinancingApplication
OWNER INFORMATION
All partners, stockholders or proprietors must complete the section below.
If additional space is necessary, please use a separate sheet of paper.
Name
Title
HomeTelephone
HomeAddress
Own
City
Rent
Payment$
State
Zip
DateofBirth
SocialSecurityNumber
PercentageofCompanyOwned
YearswithFirm
AreyouaU.S.citizen:
Yes
Ifno,whatkindofvisaor
alienregistrationdoyouhave? _________________________
No
Whatisitsexpirationdate? ____________________________
DriversLicenseNumber
&State
OWNER INFORMATION
AnnualIncome
PersonalAssets
PersonalCash
MonthlyPayments
All partners, stockholders or proprietors must complete the section below.
If additional space is necessary, please use a separate sheet of paper.
(CONTINUED)
Name
Title
HomeTelephone
HomeAddress
Own
City
PersonalLiabilities
Rent
Payment$
State
Zip
DateofBirth
SocialSecurityNumber
PercentageofCompanyOwned
YearswithFirm
AreyouaU.S.citizen:
Yes
No
Ifno,whatkindofvisaor
alienregistrationdoyouhave? _________________________
Whatisitsexpirationdate? ____________________________
DriversLicenseNumber
&State
AnnualIncome
PersonalAssets
PersonalCash
MonthlyPayments
Page2 of8
PersonalLiabilities
BusinessFinancingApplication
SCHEDULE OF BUSINESS DEBT
CREDITOR 1
CREDITOR 2
CREDITOR 3
CREDITOR 4
CREDITOR 5
CREDITOR 6
DATE OPENED
MATURITY DATE
MONTHLY PAYMENT
AMOUNT PAST DUE, IF ANY
DATE OPENED
MATURITY DATE
MONTHLY PAYMENT
AMOUNT PAST DUE, IF ANY
DATE OPENED
MATURITY DATE
MONTHLY PAYMENT
AMOUNT PAST DUE, IF ANY
DATE OPENED
MATURITY DATE
MONTHLY PAYMENT
AMOUNT PAST DUE, IF ANY
DATE OPENED
MATURITY DATE
MONTHLY PAYMENT
AMOUNT PAST DUE, IF ANY
DATE OPENED
MATURITY DATE
MONTHLY PAYMENT
AMOUNT PAST DUE, IF ANY
Page3 of8
CURRENT BALANCE
INTEREST RATE
COLLATERAL
CURRENT BALANCE
INTEREST RATE
COLLATERAL
CURRENT BALANCE
INTEREST RATE
COLLATERAL
CURRENT BALANCE
INTEREST RATE
COLLATERAL
CURRENT BALANCE
INTEREST RATE
COLLATERAL
CURRENT BALANCE
INTEREST RATE
COLLATERAL
BusinessFinancingApplication
PERSONAL FINANCIAL STATEMENT
DATE
INDIVIDUAL STATEMENT: Ifyouareapplyingforcreditinyournamealone,filloutallinformationrequestedofApplicant.
JOINT STATEMENT: Ifyouareapplyingforcredittogetherwithanyotherpersonorrelyingonanotherperson’sincomeorassetsinapplyingfor
credit,filloutinformationrequestedofApplicantand Co-Applicant.
Informationaboutyourspouseneednotbeprovidedunlessthisisajointstatementwithyourspouseorifyouarerelyingonhisorherincome
orassetstoobtaincredit.Allpartieswhoseassetsarerelieduponwillberequestedtosignnotesorotherdocumentsrequiredinconnection
withcreditextended.
TO BE COMPLETED BY APPLICANT
FirstName
MiddleInitial
LastName
StreetAddress
SocialSecurityNumber
HomeTelephone
City
State
Zip
YearsinHome
BusinessName
TypeofBusiness
Position
YearsatJob
BusinessAddress
DateofBirth
BusinessTelephone
TO BE COMPLETED BY CO-APPLICANT (Joint Statement)
FirstName
MiddleInitial
LastName
StreetAddress
SocialSecurityNumber
HomeTelephone
City
State
Zip
YearsinHome
BusinessName
TypeofBusiness
Position
YearsatJob
BusinessAddress
DateofBirth
BusinessTelephone
INCOME AND EXPENDITURE STATEMENT
CURRENT YEAR ESTIMATED
Alimony, Child Support or Separate Maintenance Payments need not be revealed unless you want such
income to be considered in evaluating credit worthiness. Submit separate schedule when appropriate.
CO-APPLICANT
APPLICANT
COMBINED
SalaryandNetProfessionalIncome
BonusandCommissions
InterestandDividends
NetRealEstateIncome
CapitalGains(Losses)
OtherIncome
RentExpense,Co-Op/Condo
Maintenance,MortgagePayments
RealEstateTaxes
IncomeTax
InterestandPrincipalonLoans
EstimatedLivingExpenses
TOTAL
Page4 of8
BusinessFinancingApplication
CASH inBankCheckingandSavingsAccounts,CertificatesofDepositandMoneyMarketFunds.
BankLoans(SecuredandUnsecured)– ExcludingMortgagesorConsumerLoans.
SCHEDULE 1
LOAN INFORMATION
NAME OF BANK AND TYPE OF ACCOUNT
DEPOSIT BALANCE
LOAN BALANCE
IS LOAN SECURED?
TOTAL
SCHEDULE 2
MARKETABLE SECURITIES StocksandBondsRegisteredandTradedonNationalExchangesorOvertheCounter,TreasuryBills,
MunicipalBonds,CommercialPaperandMutualFunds. IncludeMarginLoanswithBrokerageFirms
(Ifnotenoughspace,attachseparatescheduleandentertotalsonly.) BONDS - FACE VALUE
STOCKS - NUMBER OF SHARES
DESCRIPTION OF SECURITY
COST
MARKET VALUE
ARE ANY SECURITIES PLEDGED?
IF SO, TO WHOM?
BROKERAGE MARGIN
LOANS
TOTAL
CONSUMER DEBT InstallmentCredit
TOTAL MONTHLY PAYMENT
TOTAL AMOUNT OUTSTANDING
SCHEDULE 3
AUTO LOANS, CREDIT CARDS, CREDIT UNIONS, CHARGE ACCOUNTS, ETC.
TOTAL
PERSONAL OR INVESTMENT REAL ESTATE (IncludeSecondMortgagesandEquityLines)
PURCHASE
PROPERTY ADDRESS/LEGAL OWNER
MARKET VALUE
PRICE
ORIGINAL
LOAN AMOUNT
PRESENT LOAN
BALANCE
LOAN
MATURITY
DATE
LENDER
SCHEDULE 4
DATE
MONTHLY
PAYMENT
TOTAL
Page5 of8
BusinessFinancingApplication
LIFE INSURANCE
FACE AMOUNT
OF POLICY
TYPE OF POLICY
ANNUAL PREMIUM
BENEFICIARY
CASH SURRENDER
VALUE
AMOUNT
BORROWED
SCHEDULE 5
INSURANCE COMPANY
TOTAL
OTHER ASSETS (Listanyitemswhichyoufeelaresignificantenoughtonote,suchasautomobiles,jewelry,furs,antiquefurniture,oriental
rugs,objectsofart,paintings,stampandcoincollections,airplanes,boats,andseatsonstockexchanges.)
COST
AMOUNT DUE
SCHEDULE 6
ITEM
TOTAL
OTHER INVESTMENTS (IRA’s,Keogh’s,etc.)
DATE
ACQUIRED
PRESENT
ESTIMATED
MARKET
VALUE
CASH
INVESTED
ORIGINAL
AMOUNT
PRESENTLY
OUTSTANDING
TERMS I.E.
MONTHLY,
QUARTERLY,
ANNUALLY
AMOUNT
OF
PAYMENT
LENDER
SCHEDULE 7
INVESTMENT
TOTAL
Page6 of8
BusinessFinancingApplication
ASSETS
LIABILITIES
Cash(Schedule1)
BankLoans(Schedule1)
MarketableSecurities(Schedule2)
MarginLoans(Schedule2)
RealEstate(Schedule4)
ConsumerDebt(Schedule3)
CashValueLifeInsurance(Schedule5)
MortgagesonRealEstate(Schedule4)
OtherAssets(Schedule6)
LoansAgainstLifeInsurance(Schedule5)
OtherInvestments(Schedule7)
OtherLiabilities
ContingentLiabilities
TOTAL LIABILITIES
TOTAL ASSETS
NET WORTH
(TOTALASSETS-TOTALLIABILITIES)
Please review and sign the Agreement of Borrower terms on page 8.
Page7 of8
BusinessFinancingApplication
AGREEMENT OF BORROWER
Eachofthepersonssigningbelowstatesthefollowingonhisorherownbehalfandonthebehalfofthecompanynamedontheapplication
(the“Applicant”):IcertifythatIamauthorizedtosubmitthisapplicationonbehalfoftheApplicantandthatallinformation,figuresandamounts
providedinthisapplicationaretrueandcompleteandaccuratelyrefecttheApplicant’sandmypersonalfinancialconditionsasofthisdate.
Iunderstandthat,intheeventthattheapplicationisapproved,IwillberequiredtoguaranteepersonallythepaymenttoEasternBank(“the
Bank”)ofallindebtednessoftheApplicantatanytimearisingunderorrelatingtothisapplication,aswellasanyextensions,increases,or
renewalsofthatindebtedness.
BecauseIhaveaskedtheBanktograntcredittomybusinessandme,theBankmayobtainaconsumerreportonme.Iftheapplicationis
approved,theBankmayatanytimeinthefutureobtainadditionalconsumerreportsinconnectionwiththerevieworcollectionoftheaccount.
Ihavenooutstandingdirect,indirect,orcontingentobligationsorliabilities,asaborrower,co-maker,endorser,guarantor,suretyorinanyother
capacity,toanypersonorentity,exceptthoseshownonthisapplication.Allassetslistedinthisapplicationarefreeofanyclaimsandareinthe
Applicant’sormynamealone,exceptasotherwisenoted.
IfanymaterialchangeinthefinancialconditionoftheApplicantoccurs,IwillnotifytheBankimmediately.
AslongasIamobligatedtotheBank,IwillimmediatelynotifytheBankinwritingofanychangesinmyemploymentandofanymaterialchange
inmyfinancialcondition,includinganysubstantialreductioninmyassetsortheincurringofadditionalmaterialliabilities.UntiltheBankreceives
suchnoticefromme,theBankmaycontinuetorelyuponthisstatementastrueandcomplete.
Iacknowledgethat(i)thisapplicationissubjecttofinalapprovaloftheApplicantanditsowners,andthat(ii)additionalinformationmaybe
requiredinorderfortheBanktomakeafinalcreditdecision.Ifapproved,theactualcreditgrantedmaybelessthantherequestedamount.
ThisapplicationshallremainthepropertyoftheBank.Iftheapplicationisapproved,theApplicantwillberequiredtomaintainanEasternBank
checkingaccounttowhichtheBankwillchargemonthlypayments.
FORLOANSSECUREDBYREALESTATE:Wemayorderanappraisaltodeterminetheproperty’svalueandchargeyouforthisappraisal.We
willpromptlygiveyouacopyofanyappraisal,evenifyourloandoesnotclose.Youcanpayforanadditionalappraisalforyourownuseatyour
owncost.
BycheckingthisboxIconsenttoreceiveanelectroniccopyofmyappraisalfromEasternBanktotheemailaddressspecifiedonthis
application. Ifnoemailaddressisprovidedinthisapplication,acopyoftheappraisalwillbemailedtoyouraddressofrecord.
NOTICETOOWNERSOF1-4FAMILYDWELLINGSLOCATEDINSPECIALFLOODHAZARDAREASINMASSACHUSETTS:Pleasenotethat
thefloodinsurancewearerequiringyoutopurchasewillonlyprotectyourcreditor’sorlender’sinterestinyourproperty.Massachusettslaw
prohibitsacreditororlenderfromrequiringyoutopurchasefloodinsuranceinexcessoftheamountofyourprincipalmortgageand,inthecase
ofahomeequitylineofcredit,homeequityloanorsecondandsubsequentmortgage,thefullvalueofthecreditline,outstandingprincipalon
theequityloanorsecondorsubsequentmortgageonthatpropertyatthebeginningoftheyearforwhichthepolicywillbeineffect. The
insurancemaynotbesufficienttopayformanyneededrepairsafterafloodandmaynotcompensateyouforyourlossesinthepropertydue
totheflood.Ifyouwishtoprotectyourhomeorinvestment,youmaywanttopurchasemorefloodinsurancethantheamountwearerequiring
youtobuy.
Icertifythatthiscorporation/businessdoesnotengageinany“Internetgambling”businessorrelatedactivities,whichmeansanyactivityby
whichanybetorwagerisplaced,receivedorotherwiseknowinglytransmittedthatinvolvestheuse,atleast,inpart,oftheInternet.Ifurther
certifythatIwillnotifytheBankimmediatelyifthereisanychangeinthebusinessactivitiesofthiscorporation/entitythatwillmakethe
foregoingstatementuntrue.(Note:Federallawprohibitsfinancialinstitutionsfrommaintainingaccountsforbusiness/entitiesengagedin
internetgamblingorallowingdepositaccountstobeusedforacceptingormakingpaymentsinconnectionwithinternetgamblingactivitiesthat
areunlawfulunderfederalorstatelaw.)
ApplicantSignature
Title
Date
Co-ApplicantSignature
Title
Date
Mailing Instructions:
Pleasesendthecompleted,signedapplicationto:
EasternBank
c/oBusinessBanking,EP4-18
195MarketStreet
Lynn,MA01901
Page8 of8
BusinessFinancingApplication