Commercial Loan Application - United Arab Corporation

Application Type

Select the type of application and provide reference information.

Application Type *

New Application Joint Application (identify other applicants below) Refinance / Consolidation Renewal / Extension (No New Advances) Renewal with New Advance Other Modification (explain below)

If Joint Application or Other Modification, explain:

Existing Loan Number(s)

Current Balance

Current Lender's Name

For Internal Use Only

Date Received

Reviewed By

Loan Applicant Information

Business entity and identification details.

General Information

Legal Name *

Organizational Form

Where Organized

Year Organized

Franchise Name (if applicable)

Franchise Status

Names of Affiliated Entities

Current Trade Name(s)

Other Trade Names Used in Last 10 Years

Business Address

Local Address *

Local Phone

Local Fax

Principal Executive Office Address

Executive Phone

Executive Fax

Business Identification

Tax Identification Number *

Nature of Business

NAICS Code

Business Principals & Accountant

Information about key individuals and professional contacts.

Principal #1

Full Name *

Position / Title

SSN

Date of Birth

Address

Principal #2

Full Name

Position / Title

SSN

Date of Birth

Address

Principal #3

Full Name

Position / Title

SSN

Date of Birth

Address

Accountant Information

Accountant Name

Phone Number

Accountant Address

Financial Statements

Provide financial documentation details. Upload supporting documents below.

Fiscal Year

Calendar Year

Statements to Provide

Statements From Date

Statements To Date

Tax Years Covered

Loan Request & Sources of Repayment

Details about the loan you are requesting.

Amount Requested *

Loan Purpose *

Brief Description of Intended Use

Loan Structure

Advance Type

Payment Type

Requested Payment Amount

Balloon Payment Amount

Requested First Payment Date

Requested Loan Term

Payment Frequency

Requested Interest Rate

Rate Type

Variable Index (if applicable)

Sources of Repayment

Primary Source of Repayment

Secondary Source of Repayment

Loan Security

Collateral information for secured loans.

Purchase Money Collateral

All proceeds used for collateral purchase?

Description of Purchase Money Collateral

Amount of Proceeds for Collateral

Appraised Value

Non-Purchase Money Collateral

Brief Description of Collateral

Insurance Type

Deductible

Coverage Amount

Insurance Term

Appraised Value

Existing Liens on Collateral

List Collateral with Liens, Amount of Underlying Debt, and Lien Holder Names/Addresses

Non-Applicant Owners of Collateral

Name(s)

Address(es)

Phone Number(s)

Loan Guaranty

Complete if the loan will be guaranteed.

Is this loan guaranteed?

Review, Notices & Signature

Review your application, acknowledge notices, and sign.

Credit Denial Notice
You have the right to request reasons for credit denial within 60 days of notification. Upon written request, we will provide the specific reasons for any adverse action taken on your application.

Equal Credit Opportunity Notice
The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of:

Race
Color
Religion
National origin
Sex
Marital status
Age (provided the applicant has capacity to contract)
Receipt of public assistance income
Exercise of rights under the Consumer Credit Protection Act

We intend to apply for joint credit. (Both applicants initial below)

Certification and Authorization

By signing below, the Loan Applicant certifies that all information provided in this application is accurate and complete. The Applicant authorizes United Arab Corporation to verify all submitted information, obtain credit reports, and conduct any investigation deemed necessary to evaluate this application. The Applicant agrees to provide additional documents as requested. Any intentional misrepresentation may result in legal action.

Applicant Signature

Printed Name *

Title

Date

Second Applicant Signature (if joint application)

Printed Name

Title

United Arab Corporation

Application Type

Loan Applicant Information

Business Principals & Accountant

Financial Statements

Loan Request & Sources of Repayment

Loan Security

Loan Guaranty

Review, Notices & Signature

Application Submitted!