Below is the  Loan Application Review Formtemplate body. If necessary, please put the personal information, company information, such as text to replace the specific content you need. you can download the .doc template file on the end of the article by click download link. 

Internal Loan Review


Primary Officer:   

Prepared By:   

Date Prepared:   


Loan Request

Borrower:   

Business Information:  
Form:   


Organ Date:   


Type:   


Management:   


Ownership:   


Guarantors:     Typically the owner of the business    

  

Request:   

  

  

Purpose:   

  

  

Terms:  

Type
Amount
Rate/Fees
Term
Repayment



















Source of Repayment
Primary:   


Secondary   


Tertiary:   

Collateral Description:   

  

  

Collateral Valuation: 

Type
AppraisedValue
% of ADV
Debt
Avail.Equity
LTV

Accounts Receivable

75% (0-90 days)




Inventory

30%




Equipment

75%




Marketable Securities

70%




Commercial and Residential   Property

75%




Vacant Land

30-50%





Flood Hazard:   

  

Environmental Concerns:   

  

  

Bow Debt:

Type
Open
High
Bal.
# of REN
Rate
Terms
SEC
LTV































 Bow Payment History:   

  

Line of Credit Usage:

   Low Balance:   
# of Days at Zero:   

Other Debts:   

  

Depository Relationship: 

Name
Acct #
Type
Opened
Balance
Avg. Col. Bal.
Rate

























Average Cost of Funds:   

Trust Relationship:   

Background Information:   

  

  

  

  

  

  

Financial Statement: 
Last 3 years of business financial statements and/or tax returns


Last 3 years of owners personal tax return


Current personal financial statement




BUSINESS LOAN APPLICATION


Date:    

  New Relationship
Branch:    

  Existing Relationship
Officer:    



BUSINESS INFORMATION

Business Name

Address

Telephone (     )
Tax I.D.

Individual Name(s)

Address

Telephone (     )
Social Security #
Date of Birth:

   Proprietorship    
Partnership    
Sub-Chapter S  
Corporation    

        Non-Profit    
Individual    
LLC    



Ownership Distribution:  (List stockholders, partners, owner names)
Note:  Attach separate sheet if additional space needed.

Name
Title
# of Years
%
SS#

Name
Title
# of Years
%
SS#

Name
Title
# of Years
%
SS#



Nature of Business
Year Established
Number of Employees

Years at Present Location
[   ] Own
[   ] Lease

Accountant
Telephone (     ) 

Insurance Agent
Telephone (     ) 

Attorney
Telephone (     ) 



FINANCIAL INFORMATION

Bank of Account
Account Number 



Credit Relationships:  Please provide details of your business credit relationships below:





Original Loan
Amount

Maturity 

Name of Creditor
Purpose of Loan
Amount
Presently Owing
Repayment Terms
Date


$
$


$
$


$
$




LOAN REQUEST

Amount of Loan Requested
  Type of loan


[         ]  Line of Credit


[         ]  Term Loan

Requested Term of Loan   
[         ]  Business Home Equity


[         ]  Commercial Real Estate




Specific Loan Purpose (Check all that apply)


[         ]  Working Capital  
[         ]  Other (State type of loan required and loan 

[         ]  Finance Purchase of Inventory  
      purpose)

[         ]  Finance Purchase of Equipment
                 

[         ]  Finance Purchase of Real Estate
                 

[         ]  Finance Purchase of Business  
                 

[         ]  Refinance Existing Loan or Debts
                 




Collateral Available*  (Check all that apply)


[         ]  All Assets (accounts receivable, inventory, machinery and equipment)

[         ]  Specific Equipment (Please attach equipment list, including serial numbers or description of 

     equipment, and invoices for new equipment.)

[         ]  Real Estate (Please attach property address, legal description and a copy of most recent tax

     bill.)
Square Feet    
Acres    

[         ]  Cash on Deposit at (name of bank)
Branch    
Account #    

[         ]  Personal Assets (As described in Personal Financial Statement.)

    

       *
Collateral:  Loans are secured by collateral, which is property in which a security interest is granted to secure repayment of the loan.  The loan collateral may include business assets, stocks, bonds, certificates of deposits, or personal assets.  Consider (1) the value of the loan collateral must be equal to or greater than the amount of the loan, (2) expected economic life of collateral will be considered by the Bank in evaluating the collateral offered for the loan, (3) formal collateral appraisals may be required, and (4) a pledge of personal assets may be required as additional collateral for the business loan requested. 



[         ]  Guarantors**   (Please list)




Name
Social Security #


Address


Name
Social Security #


Address


Name
Social Security #


Address




      **
Guarantors:  For incorporated borrowers, guarantees of owner(s) is usually required, unless secured by Bank deposits or marketable collateral.  If personal assets are in joint names, a sole proprietorship, and/or partnership, the Bank may require all parties to pledge collateral.


BUSINESS BACKGROUND INFORMATION



Please provide a brief history of your business, future plans and projections, and describe your products and/or services and competition.















PERSONAL BUSINESS EXPERIENCE



If you have been in your present business for under five years, please describe your previous business experience.  (Include business background, management experience, and training, or include a resume.)











MISCELLANEOUS INFORMATION



Are tax liabilities current?  [   ] Yes  [   ] No  
Settled through    

Is the business an endorser, guarantor, or co-maker for any obligation not listed in the financial   statements?  [   ] Yes  [   ] No  

             If yes, what is the contingent liability?   

Has the business or principal owner ever declared bankruptcy?  [   ] Yes  [   ] No  

             If yes, provide details on a separate sheet. 

Is the business a defendant in any lawsuit?  [   ] Yes  [   ] No  

             If yes, provide details on a separate sheet. 

Are any of the business assets encumbered by liens or attachments of any type?    [   ] Yes  [   ] No  


What          By whom      Amount $


What          By whom      Amount $


What          By whom      Amount $

Does the business have a pension fund?    [   ] Yes  [   ] No  

       profit-sharing plan?   [   ] Yes  [   ] No  

If so, does the plan have any unfunded pension liabilities?  [   ] Yes  [   ] No  
Amount $


CERTIFICATION



The undersigned certifies that, to the best of his or her knowledge and belief, all information contained in this loan application and in the accompanying statements and documents is true, complete, and correct.  The undersigned agrees to notify the Bank immediately of any material changes in this information.  It is further agreed that, whether or not the loan herein applied for is approved, the undersigned will pay or reimburse the bank for the costs, if any, of surveys, title or mortgage examinations, appraisals, etc., performed by non-Bank personnel with the consent of the applicant.  The undersigned authorizes the Bank to contact any bank and trade creditors it deems necessary without further notice, including, but not limited to, Dunn & Bradstreet reports or information from TRW Credit Data.





Business Name (print):



Applicant Signature:

Date:

Applicant Title:







Guarantor(s) Signature:

Date:

Guarantor(s) Signature:

Date:













BUSINESS LOAN APPLICATION CHECKLIST



Please be sure all of the following documentation has been included in order for your business loan application to be processed.





 [   ] Business Loan Application


 [   ] Accountant-Prepared Business Financial Statements (Profit and Loss, Balance Sheet)   for the past three fiscal years


 [   ] Business Federal Tax Returns for past three fiscal years


 [   ] Interim Financial Statements (if available)


 [   ] Most Recent Federal Tax Returns for each principal owner listed in the first section of   the Business Loan Application


 [   ] Personal Financial Statement


 [   ] Organizational Papers (Articles, dba papers, etc.)


 [   ] OTHER:    









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