Fillable Printable Small Business Loan Application for Loans under $100,000
Fillable Printable Small Business Loan Application for Loans under $100,000
Small Business Loan Application for Loans under $100,000
Small Business Loan Application Code 60
Purpose
The following information is needed to better understand the lending needs for your business.
¨ Modification to an Existing TD Bank Loan (excluding interest rate & fee changes) Existing TD Bank loan #:______________________________________________
Change Requested (please describe):_______________________________________________________________________________________________________________
Select all
that apply.
¨ General or Capital Expenditures ¨ Business Improvements ¨ Purchase an Existing Business Purchase Price: $_____________________
¨ Start up ¨ Refinance or Debt Consolidation ¨ Purchase of Real Estate Down Payment: $____________________
¨
Working Capital (specify use):
________________________________________ ¨ Purchase Vehicle (please describe): _____________________________________
¨ Other
____________________________________________________________
¨ Purchase Equipment (please describe): __________________________________
Automatic Payment Deduction
Automatic Payment Deduction will save you time & money by automatically deducting your monthly payment(s) from your
TD Bank Business Checking account #_______________________________________________________________________________.
Auto deduction from a TD Bank Business Checking account must be established in order to save 1.00% on your interest rate (excluding Express Lease).
Amount Requested
$
$
$
$
$
$
Amount Requested
$
$
$
Product
¨ Line of Credit
¨ SB Home Equity Line of Credit
¨ Time Loan (up to 90 days)
¨ Letter of Credit
¨ ACH Limit Requested: Debit
Credit
Officer Name:
Store #:
Sourced by: ¨ Store ¨ RM ¨ Healthcare Specialist ¨ Outbound Calling Team
Phone #:
¨ C Corporation ¨ S Corporation ¨ Limited Liability Company (LLC) ¨ Business Individual ¨ Non-Profit
¨ Sole Proprietor ¨ Limited Partnership ¨ General Partnership ¨ LLP ¨ Other__________________________
Date Business Established: Month_______ Year_______ State of Incorporation:_________________ Number of Employees After Financing: ________________________
Explain Nature of Business: _______________________________________________________________________
________________________________________________________________
_________________________________________________________________________________________________________________________________________________________________
¨ Manufacturing ¨ Wholesale ¨ Retail ¨ Service ¨ Agricultural ¨ Construction ¨ Other______________________________________________________
List any Affiliated Companies: ____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________
_____________________________________________________________________
Business Legal Name:
Doing Business as (DBA) Name, if any: Primary Contact:
Tax I.D. #: Telephone #: Email Address:
Street Address (no P.O. Boxes): City: State: Zip Code:
Mailing Address (if different): City: State: Zip Code:
¨ Own ¨ Rent
Officer #:
Store Name:
Product
Tell us which loan product(s) will help you meet your business needs.
Business Information (Applicant/Borrower)
The following information is required to process your loan request(s). Please complete all sections.
To be completed by Borrower(s)
¨ New ¨ Increase ¨ Renewal
Product
¨ Commercial Real Estate Mortgage
Fixed Rate (3 or 5 yrs)____________ years
Amortization (10 or 20 yrs)____________ years
¨ Term Loan Term (up to 5 yrs)____________ years
¨ Express Lease Term (up to 7 yrs)____________ years
1 of 3
Collateral Current Value Current Lien(s)
Describe Collateral
(If real estate also provide address)
Owner Name(s)
TD Bank
CD Savings
$___________________
Marketable Securities
$___________________
Equipment
New Used
$___________________
Vehicle
New Used
$___________________
Accounts Receivable
$___________________
Inventory
$___________________
Owner Occupied Real Estate
Residential
Commercial
$___________________
Investment Real Estate
Residential
Commercial
Mixed Use
Other
$___________________
Business Obligations Business Deposit Relationships
*
Creditor Loan Type Current Balance Monthly Payment Collateral Deposit Type Bank Name Current Balance
$ $
CHK SAV
$
$ $
CHK SAV
$
$ $
CHK SAV
$
$ $
CHK SAV
$
Gross Sales/Revenue $ Business Net Income / (Net Loss) $
Please provide details on an additional page to any question with a YES response.
Yes No 1. Is the applicant party to any lawsuit or subject to outstanding judgments?
Yes No 2. Is the applicant party to taxes or credit obligations past due?
Amount: $____________________ Payable to: __________________________________________________________________________________________
Yes No 3. Has the applicant ever filed personal bankruptcy or served as an officer in a company that declared bankruptcy?
Yes No 4. Is the applicant presently under indictment or probation or parole, or ever been charged or convicted for any criminal offense other than
a minor motor vehicle violation?
Yes No 5. Is the applicant a political party, a campaign, a candidate, a public official or foreign political official or an immediate family member of
such an official, or a business entity formed by or for the benefit of any public official.
If yes, name, relationship, & position of official: ______________________________________________________________________________________
Yes No 6. Is the applicant or an owner an employee of TD Bank, N.A. or one of its affiliates?
If yes, name of employee: __________________________________________________________________________________________________________
Yes No 7. Is the applicant engaged in Internet Gambling?
If yes, what type of Internet Gambling does the applicant participate in? _______________________________________________________________
Include all business loans & business deposit relationships (including existing accounts with TD Bank). Do not include rent on office space or other facilities.
(Attach additional sheets if necessary.) *Please indicate in the first column below which obligations are being refinanced with this application.
CHECK ONLY the following collateral that is being offered to secure your Small Business loan request(s). Current Value, Lien(s), description & owner name(s)
are required for all pledged collateral.
Collateral to Secure your Small Business Loan
The following information will help us better understand the assets being pledged to secure your business loan request(s).
Business Obligations/Deposit Relationships
The following information is required to process your application & will help us get a complete view of your current banking relationships.
Business Financials
The following information provides us details about the financial background of your business.
Declarations
The following questions are required to process your Small Business loan request.
2 of 3
Credit Application Checklist
Bank Employee must initial next to each line item to validate that they have supplied the required documentation. If any items are omitted reasons why must be included.
3 of 3
Bank
Employee
initials
Required Documentation Reason for Omission
__
Small Business Loan Application – Completed, signed & dated.
__
Attached sheet providing details to Declaration questions answered YES on page 2.
__
Copy of Purchase & Sales Agreement/Bill of Sale, if applicable.
__
For investment real estate transactions, a schedule of all property owned showing year purchased, purchase price,
outstanding loans & payments, & gross rents & expenses.
__
For all applicants except non-profits a Personal Financial Statement must be completed.
Bank
Employee
initials
Required Financial Documentation
Up to
$50,000
$50,000.01–
$100,000
$100,000.01–
$250,000
Over
$250,000
Reasons for Omission
__
Signed & Complete 4506-T Form
X
__
One (1) year current business federal tax return (complete with
all schedules) or Accountant prepared Financial Statement or
Signed & Complete 4506-T Form.
X
__
One (1) year personal federal tax return - Complete with all
schedules for each guarantor or Signed & Complete 4506-T Form.
X
__
Interim YTD business financial statement (balance sheet & income
statement) if the application date is more than (six) 6 months
beyond fiscal year end.
X X
__
One (1) year personal federal tax return - Complete with all
schedules for each guarantor
X
__
Two (2) year current business federal tax return (complete with
all schedules) or Accountant prepared Financial Statement
X
__
Accounts Receivable aging report if loan is for working capital
purposes or secured by accounts receivable.
X X
__
Two (2) year personal federal tax return - Complete with
all schedules for each guarantor.
X
__
Three (3) year current business federal tax return (complete with all
schedules) or Accountant prepared Financial Statement.
X
¨No ¨Yes Would you like to apply for Overdraft Protection for your TD Bank Business Checking account? If yes, please provide your
TD Bank Business Checking account
#: __________________________________________________________________________________________.
If your request for overdraft protection is approved you may enter into the Bank’s Small Business Overdraft Protection Agreement.
¨No ¨Yes Would you like to learn more about TD Digital Express for Small Business, a Remote Deposit Capture service which allows you to make check
deposits by scanning checks to be deposited without ever leaving your office?
Other Products & Services
We may order an appraisal to determine the property’s value and charge you for this appraisal. In the event the property is a 1 to 4 family residential
property, we will promptly give you a copy of any such appraisal, even if your loan does not close.
Right to a Copy of Appraisal
To Be Completed By Bank Employee
Owner/Guarantor:
Form of ID: ID Number: Expiration Date:
Signature of Employee Verifying ID:
X
The undersigned certifies that I intend to apply for Credit in the manner indicated in this application and certify that everything stated in this application and on any attachment is correct. The Lender may keep this application
whether or not it is approved. I certify that the credit being applied for will be used for business purposes. My signature also certifies that the information on this application and all supporting documents is true, that my intent
is to apply for business purpose credit in which the use of the proceeds will not be used to secure a dwelling or fo
r home improvements, and that I am aware that this application is not a commitment to lend. Applicant may
be required to submit additional information to process this request for credit. My signature authorizes and requests Lender to share the information provided on this application, together with the results of this investigation
of the credit and financial condition of the company and each applicant, with the U.S. Small Business Administration (“SBA”) and/or TD Equipment Finance Inc. (“Lessor”) in order to allow Lender and Lessor to offer the credit
product best suited to the com
pany and each of the owner’s/guarantor’s financing needs.
Representation
Name of Business (please print)
____________________________________________________________________________________________________________________________________________________________
Name of Authorized Signer (please print) Authorized Signature
___________________________________________________________________
X_______________________________________________________ Date_______/_______/_______
Bank deposits FDIC insured. | TD Bank, N.A. | Equal Housing Lender
19966-SB (12/13)
