COVID-19 RELIEF LOAN APPLICATION
$50k - $2 Million
ALL 50 STATES - USA Only
This Loan program uses Real Estate collateral in order to qualify.
Virtually any combination of real estate may be used as collateral including residential and commercial/industrial properties, parking lots, gas stations, co-ops, mixed use, farms, etc..
COMPLETE APPLICATION IN DETAIL:
Submissions that state "See Attached" or provide incomplete information will be considered invalid and will not be processed.
Legal Name of Entity:
Business Inception Date
# of Full Time Employees
# of Part Time Employees
Describe your Owned Real Estate
# of Parcels:
# of Units:
If you have additional properties you'd like to use as collateral, please describe them here:
The below questions pertain to the business:
Briefly describe what the borrowing company does:
How much capital is being requested?
Breakdown the use of the loan proceeds:
Where is the borrowing company located?
Year company began:
Personal Credit Scores of the Principal(s):
Total Accounts Receivable now:
Accounts Receivable over 90 days old:
Total Accounts Payable over 90 days old:
Approximately how much are you billing per month?
Credit terms extended:
30 days, etc.
Is the business seasonal?
What % of sales are performed under contract with progress billing?
Are there any tax deliquencies?
What % of customer base is outside U.S.A?
Does any customer account for more than 25% or A/R?
What is the current company net worth?
Estimate the liquidation value of Inventory (excluding work in progress):
Estimate the liquidation value of Equipment if it were liquidated:
furniture and telephone/computer equipment is not acceptable collateral
If the equipment has been appraised, for how much?
If no appraisal, leave blank
Type of Appraisal:
FMV (Fair Market Value)
OLV (Orderly Liquidation Value)
FLV (Forced Liquidation Value)
Date of Appraisal
If no appraisal, leave blank
Appraised/Estimated value of business owned Real Estate:
Estimated value of any other business assets:
Total secured debt (including mortgage) against company now:
Monthly payment now on secured debt:
Are the payments current?
2020 Net Income:
2019 Net Income:
2018 Net Income:
This year's projected sales volume:
Amount of backlogged orders now:
Is the business currently making money?
If making money, for how many consecutive months?
if not making money, enter 0
Does company have accountant prepared financial statements?
If so, on what date does the accounting year end?
What type of statement?
No Statements Available
Who does the company typically sell products/services to?
Additional Comments that could be relevant for a lender's considration, if any:
Optional File Upload
Questions above must be answered as requested.
Any questions stating "see attached" will not be given consideration and applicant will be required to re-submit the application.
3 Years Company Financial Statements
Personal Net Worth Statement (PNW)
Real Estate Owned Schedule (REO)
Name of person completing form:
Person completing the form is:
Referral Information (if applicable)
Name of person who referred you to us:
Email of person who referred you to us:
Account Executive (if applicable)
If you have been assigned an Account Executive (other than the person who referred you), please enter their email here.