Business Line of Credit Form | Fivestar Capital

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BUSINESS LINE OF CREDIT APPLICATION FORM

BORROWING ENTITY INFORMATION

Business Legal Name

Business Type

Street Address (including city,zip/postal code)

Year Established

Business Industry

Business Registration Number (EIN/VAT/TIN )

Country

Number of Employees

Business Phone #

Business Email

LINE OF CREDIT INFORMATION

Requested Line of Credit Amount

Term of Credit

Desired Credit Limit

Select the Repayment Security *

Bank Guarantee

Credit Protection Insurance

Real Estate

Personal Guarantee

Business Assets

Inventory

Purpose *

Equipment Purchase

Expansion

Business Acquisition

consolidate other Debt

Purchase of Inventory

BUSINESS ANALYSIS

Is the loan amount greater than the amounts invested into the business in the past 2 years?

Yes

No

Annual profit of the Business

If No,specify the amount invested in the business in the past 2 years

Buiness Asset

Buiness Liability

OWNER/AUTHORIZED SIGNATORY

Full Name

Position

Annual Net Income

Date of Birth

Sex

Home Address(Include city and State)

Mobile Number

Email Address

RELATIONSHIP MANAGEMENT

How did you hear about us ?

Your Loan Application has been received. We will be in touch.

Member's Name

Broker/Referral's Name

Client's Name

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