Business Loan Application - ATFCU

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BUSINESS LOAN APPLICATIONEach owner, shareholder, partner or member owning 20 percent or more interest in the businessmust sign a personal guaranty. A minimum of 1 guarantor is required regardless of percentownership. Additional guarantees may be required.8929 Shoal Creek Blvd Austin TX 78757 (512) 302-5555LOAN REQUESTLoan Amount:Loan Type: Term Loan Business Line of Credit SBA Loan Commercial Real EstateAmount Requested: MonthsTerm: YearsPurchase Price: (include copy of purchase order for equipment/vehicle purchases)Additional Information:This request is to: Refinance existing debt Buy-out partner(s) Other (describe): Purchase new equipment Acquire Real Estate Manage seasonal cash flow shortages Letter of credit needs Purchase existing business Refinance commercial real estateLOAN PURPOSE & COLLATERALWhat are loan proceeds going to be used for:Collateral Available*:*Loans will be secured by all business assets unless specific assets, acceptable to the Credit Union, are pledged. Please describe fully any such specific assets that you wish to use as*collateral. Please note which assets, if any are pledged as collateral for other loans. Please note location of collateral if different than your business location.BUSINESS INFORMATIONBusiness Legal Name (exact legal name)Taxpayer ID NumberBusiness Type: DBA (if applicable)Year Business Began OperationINDIVIDUAL Sole Proprietorship Individual Years Of Current Ownership PARTNERSHIP General Partnership Limited Partnership Limited Liability PartnershipYears owners have been inthis line of businessAnnual Sales CORPORATION Sub-S Corporation C-Corporation Limited Liability CompanyOTHER Nonprofit Organization Professional Association OtherDescription of Business or ServicePrimary Contact NameBusiness PhoneBusiness FaxCityStateZipCityStateZip()()BUSINESS PHYSICAL LOCATION (cannot be a P.O. box):Street AddressBUSINESS MAILING ADDRESS (if different from above):Street AddressFINANCIAL INFORMATIONBusiness Deposit AccountsFinancial InstitutionAccount TypeCurrent BalanceAverage Balance Would you like to move the account to ATFCU? YesYesYesBusiness Debts (List all business debts, including accounts and payables. Include any existing ATFCU outstanding debt.)Payable to:Type of Account (Revolving, Term, etc.)Balance OwingPayment per per per perPay off with proceeds? YesYesYesYesRELATED BUSINESS ISSUES(If Yes, please explain on separate sheet)Has the Business Applicant ever declared bankruptcy?Has any Principal, Guarantor or Co-applicant ever declared bankruptcy?Is the Business Applicant liable as guarantor or endorser on an existing or outstanding loan?Is any Principal, Guarantor or Co-applicant liable as guarantor or endorser on an existing or outstanding loan?Is the Business Applicant or any Principal, Guarantor or Co-Applicant a party to any legal claim or lawsuit?Is the Business already pledging any assets for a loan or lease?Is the Business Applicant or any Principal, Guarantor or Co-applicant currently past due on any taxes?Are there any tax liens filed against the Business Applicant, or any Principal, Guarantor or Co-applicant?Does Business Applicant own or lease occupied building? Own LeaseIf leased, name of lessor:Years remaining on lease:Monthly lease payments, if applicable: ATFCU Business Loan Application YesYesYesYesYesYesYesYes NoNoNoNoNoNoNoNoIf yes, Date of occurrence:If yes, Date of occurrence:If yes, Date of occurrence:If yes, Date of occurrence:If yes, Date of occurrence:If yes, Date of occurrence:If yes, Date of occurrence:If yes, Date of occurrence:Mailing address of lessor:Page 1Rev 6/06

BUSINESS LOAN APPLICATION - ContinuedOWNERSHIP / MANAGEMENT INFORMATIONList all owners of the companyNameSocial Security #TitleOwnershipThis Line of BusinessPRINCIPAL, GUARANTOR, OR CO-APPLICANT INFORMATIONNamePositionSocial Security NumberAddressHome PhoneCell PhoneNameBusiness PhoneEmailPositionSocial Security NumberAddressHome PhoneCell PhoneNameBusiness PhoneEmailPositionSocial Security NumberAddressHome PhoneCell PhoneNameBusiness PhoneEmailPositionSocial Security NumberAddressHome PhoneCell PhoneBusiness PhoneEmailEQUAL CREDIT OPPORTUNITY NOTICE – ADVERSE ACTION NOTICE The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against applicants on thebasis of race, color, religion, national origin, sex, marital status, age (providing the applicant has the capacity to enter into a binding contract); because all or part of the applicantsincome is derived from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The Federal Agencythat administers compliance with this law concerning this creditor is the National Credit Union Administration, Region V (Austin), 4807 Spicewood Springs Rd., Suite 5200, Austin,Texas 78759If your application for business credit is denied, you have the right to a written statement of the specific reasons for denial. To obtain the statement, please send your written requestwithin 60 days of the date of the Creditor’s decision to Austin Telco F.C.U., 8929 Shoal Creek Blvd., Austin, Texas 78757, Attention: Business Lending. The Creditor will send you awritten statement of reasons within 30 days of receiving your request for the statement.FINANCIAL STATEMENTS AND TAX RETURNS Please provide a copy of the company’s financial statements or tax returns for the last three years and interim financialstatements for the current year. Please also provide guarantors’ tax returns for the last three years and updated personal financial statements.Authorization: Each Business Applicant and each person or entity signing this Application (“Signer”) certifies that all information provided by the Business Applicant and the Signer is true and complete andauthorizes Austin Telco Federal Credit Union (Austin Telco) and it’s agents to: obtain credit and employment information about the Business Applicant and Signer; obtain credit reports and make any inquiriesAustin Telco and it’s agents consider appropriate in connection with this application or review of this loan account from time to time; make Austin Telco’s experience with this loan account andinformation about this application available to credit bureaus, other Signers or other persons who have or expect to have financial dealings with the Business Applicant and the Signer; share collectioninformation with Signer’s other creditors; and disclose account information as required by law. Each Signer acknowledges that additional information may be required in order to make a final credit decision.Business Applicant also acknowledges receipt of the Equal Credit Disclosures provided with this application.REQUIRED SIGNERS: All signers must also be duly authorized to sign on behalf of applicant.ACKNOWLEDGEMENT: EACH SIGNER ACKNOWLEDGES THAT AUSTIN TELCO AND IT’S AGENTS MAY RELY ON THE STATEMENTS AND INFORMATION SET FORTH IN THIS APPLICATION AND THATSUCH STATEMENTS AND INFORMATION MAY BE INCORPORATED BY REFERENCE IN ANY AGREEMENT ANY OF THE UNDERSIGNED MAY ENTER INTO WITH AUSTIN TELCO. EACH OF THEUNDERSIGNED HEREBY AGREES TO NOTIFY AUSTIN TELCO PROMPTLY OF ANY CHANGE IN ANY SUCH STATEMENT OR INFORMATION. EACH SIGNER HAS READ AND UNDERSTOOD THE TERMS OFTHIS APPLICATION, INCLUDING THE ABOVE DISCLOSURES, ANY ADDENDUM, AND REPRESENTS AND WARRANTS THAT THE INFORMATION CONTAINED HEREIN IS TRUE AND CORRECT. EACHSIGNER ALSO ACKNOWLEDGES THEY HAVE RETAINED A COPY OF THIS APPLICATION FOR THEIR RECORDS.XSignaturePrint NameTitleDatePrint NameTitleDatePrint rePrint NameApplication Checklist – Thank you for choosing Austin Telco FCU. We look forward to serving your financial needs. Completed Business Loan ApplicationLast two years Personal Tax Returns for each business owner with interest in excess of 20%Last two years fiscal year-end Financial Statements (3 years if request is over 250,000)Schedule of all Business DebtsAccounts Receivable and Payable Agings for Revolving Credit Line requestsATFCU Business Loan ApplicationPrint ApplicationApplicationPrintPage 2Personal Financial Statement for each business owner with interest in excess of 20%Last two years Business Tax Returns (3 years if request is over 250,000)Latest interim financial statement (must be within 90 days of application date)Invoices or Purchase Orders of equipment to be financedDescription of Real Estate (legal and property type) for Real Estate secured requestsReset ApplicationApplicationResetRev 6/06

Equal Credit Opportunity NoticeAdverse Action NoticeApplicant’s CopyThe Federal Equal Credit Opportunity Act prohibits creditors from discriminating against applicants on the basis of race,color, religion, national origin, sex, marital status, age (providing the applicant has the capacity to enter into a bindingcontract); because all or part of the applicants income is derived from any public assistance program; or because theapplicant has in good faith exercised any right under the Consumer Credit Protection Act. The Federal Agency thatadministers compliance with this law concerning this creditor is the National Credit Union Administration, Region V(Austin), 4807 Spicewood Springs Rd., Suite 5200, Austin, Texas 78759If your application for business credit is denied, you have the right to a written statement of the specific reasons for denial.To obtain the statement, please send your written request within 60 days of the date of the Creditor’s decision to AustinTelco F.C.U., 8929 Shoal Creek Blvd, Austin, TX 78757, Attention: Business Lending. The Creditor will send you a writtenstatement of reasons within 30 days of receiving your request for the statement.Applicant: Retain for your records

PERSONAL FINANCIAL STATEMENTPlease complete all entries.Submitted to: Austin Telco F.C.U.8929 Shoal Creek BlvdAustin, Tx 78757Date:IMPORTANT: Read these directions before completing this StatementIf you are applying for individual credit in your own name and are relying on your own income, or assets and not the income or assets ofanother person as the basis for repayment of the credit requested, or if this statement relates to your guaranty of the indebtedness of otherperson(s), firm(s), or corporation(s), complete only Sections 1, 3, and 4.Print BlankBlank FormFormPrintIf you are applying for individual credit but are relying on income from alimony, child support, or separate maintenance or on the income orassets of another person as a basis for repayment of the credit requested, complete all Sections. Provide information in Section 2 about theperson whose alimony, support, or maintenance payments or income or assets you are relying on. Alimony, child support, or separatemaintenance income, need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.Section 1 – Individual InformationSection 2 – Other Party InformationNameAddressNameAddressCity, State & ZipCity, State & ZipSocial Security #Date of BirthSocial Security #Date of BirthPosition or occupationBusiness namePosition or occupationBusiness nameBusiness addressBusiness addressCity, State & ZipLength at present addressCity, State & ZipLength at present addressLength of employmentRes. PhoneLength of employmentRes. PhoneBus. PhoneBus. PhoneHave (either of) you or any firm in which you were a major owner ever declared bankruptcy, or settled any debts for less than the amounts owed? If yes, please provide detailson a separate sheet.YesNoAre (either of) you a defendant in any suit or legal action?YesAre (either of) you presently subject to any unsatisfied judgments to tax liens?YesNoWhen, if ever, have (either of) you been audited by IRS?YesNoAre (either of) your assets held in a Trust?YesNoIf so, what on 3 – Statement of Financial Condition as of:Assets(Do not include assets ofdoubtful value)Cash, Checking & Savings,CD’s – see Schedule A Amount Amount(omit cents)(omit cents)[Individual][Joint]If joint, with whomIn dollarsIn dollars(omit cents)(omit cents)[Individual][Joint]Liabilities Notes payable to banks &others – see Schedule H Due to brokers Amounts payable to others –secured Amounts payable to others –unsecured Accounts & bills due Unpaid income tax Other unpaid taxes & interest Real estate mortgages payable– see Schedules D & H Other assets/personalproperty itemize – seeSchedule G if applicable Total LiabilitiesNet Worth Total Assets Total Liabilities & NetWorth U.S. Gov’t & marketablesecurities – see Schedule BNon-marketable securities– see Schedule BSecurities held by broker inmargin accountsRestricted, control ormargin account stocksReal estate owned – seeSchedule DAccounts, loans, & notesreceivableAutomobilesCash surrender value-lifeinsurance – see Schedule EVested interest in deferredcompensation/profitsharing plans – seeSchedule FBusiness ventures – seeSchedule GIf joint, withwhom

Section 4 – Annual Income For Year Ended:Annual IncomeSalary, bonuses &commissionsIndividual Joint Annual ExpenditureMortgage / rentalpaymentsIndividual Joint Dividends & interest Real-estate taxes &assessments Real estate income Taxes-federal, state &local Insurance Payments Other contractpayments (carpayments, chargecards, etc.) Alimony, childsupport, maintenance Other expenses Total Expenditures Other income(alimony, child support,or separate maintenanceincome need not berevealed if you do notwish to have itconsidered as a basis forrepaying thisobligation.)Total Income Contingent LiabilitiesEstimated AmountsDo you have any:Individual(if ‘Yes’, describe on separate page)Contingent liabilities(as endorser, Co-maker orGuarantor?)YesNo(On leases or contracts)YesNoInvolvement in pending legalactions?YesNoContested income tax liens?YesNoJoint Any estimated capital gains taxon the unrealized asset appreciation?YesNoOther special debt orcircumstances? YesNo Total Contingent Liabilities SCHEDULE A – CASH, CHECKING AND SAVINGS ACCOUNTS, CERTIFICATES OF DEPOSIT, MONEY MARKET FUNDS, ETC.Name of Financial InstitutionType of AccountOwnerJointY/NIf Pledged, to Whom?SCHEDULE B – U. S. GOVERNMENT & MARKETABLE SECURTIES (Use additional sheet if necessary)Number of Shares orAre these Registered,DescriptionIn Name ofFace Value of BondsPledged, or Held by Others?BalanceMarket ValueExchanges Where TradedValueMethod of ValuationSCHEDULE C – NON-MARKETABLE SECURITIES (Use additional sheet if necessary)Number of SharesDescriptionIn Name ofAre these Registered,Pledged, or Held by Others?SCHEDULE D – INVESTMENTS IN REAL ESTATE (Use additional sheet if necessary)%Description/Location ofMarket Value of YourDate of OriginalJointOwnedY/NReal Estate Investment% of InvestmentInvestment/AmountBy YouSCHEDULE E – LIFE INSURANCE CARRIED, INCLUDING GROUP INSURANCEName of InsuranceBeneficiary andOwner of entFace AmountSCHEDULE F – VESTED INTEREST IN DEFERRED COMPENSATION/PROFIT-SHARING PLANS%Manner of PayoutCompany NameAccount Number(Annuity, Lump Sum, etc.)VestedMortgageMaturityDatePolicy LoansDistributionDateMortgaged Owed ToCash Surrender ValueBeneficiaryAmountSCHEDULE G – BUSINESS VENTURES (Use additional sheets if necessary)List Name and Address of AnyBusiness Venture In Which YouAre a Principal PartnerYour Position/Titlein BusinessLine of BusinessYears inBusinessTotal AssetsListed inSection 3Your % ofOwnershipNet Worth ofBusinessPresent NetValue ofYourInvestment

SCHEDULE H – LOANS OWING BANKS, BROKERS, FINANCE COMPANIES, AND OTHERS (MASTERCARD, VISA, ETC.)Date of OriginalDate of FinalJointPresent BalanceDueMonthly PaymentOwing to (Acct. No.)Y/NBorrowing/AmountPaymentSecured byThe information contained in this statement is provided to induce you to extend or to continue the extension of credit to the undersigned or to others upon the guaranty of theundersigned. The undersigned acknowledges and understands that you are relying on the information provided herein in deciding to grant or continue credit or to accept a guarantythereof. Each of the undersigned represents, warrants, and certifies that (1) the information provided herein is true, correct and complete and gives a correct and complete showingof the financial condition of the undersigned, (2) the undersigned has no liabilities direct, indirect or contingent except as set forth in this statement, and (3) legal and equitable titleto all assets listed herein is in the undersigned’s sole name, except as may be herein otherwise noted. Each of the undersigned agrees to notify you immediately and in writing ofany change in name, address, or employment and of any material adverse change (1) in any of the information contained in this statement or (2) in the financial condition of any ofthe undersigned or (3) in the ability of any of the undersigned to perform its (or their) obligations to you. In the absence of such notice or a new and full written statement, thisshould be considered as a continuing statement and substantially correct. You are authorized to make all inquires you deem necessary to verify the accuracy of the informationcontained herein, and to determine the credit-worthiness of the undersigned and the undersigned hereby authorizes all persons of whom you make such inquiries to respond theretoin full. Each of the undersigned authorizes you to answer questions about your credit experience with the undersigned.Signature (individual)DatePrintPrintSignature (joint)Clear allall fieldsClearfieldsDate

7TLS, have youtransmitted all Rtext files for thiscycle update?I.R.S. SPECIFICATIONSTO BE REMOVED BEFORE PRINTINGINSTRUCTIONS TO PRINTERSFORM 4506, PAGE 1 of 2MARGINS: TOP 13 mm (1 2 "), CENTER SIDES.PRINTS: HEAD to HEADPAPER: WHITE WRITING, SUB. 20. INK: BLACKFLAT SIZE: 216 mm (81 2 ") 279 mm (11")PERFORATE: NONEDO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINTDateFormDateSignatureO.K. to printRevised proofsrequestedRequest for Transcript of Tax Return4506-T (Rev. January 2008)Department of the TreasuryInternal Revenue ServiceAction Do not sign this form unless all applicable lines have been completed.Read the instructions on page 2.Request may be rejected if the form is incomplete, illegible, or any requiredline was blank at the time of signature.OMB No. 1545-1872Tip: Use Form 4506-T to order a transcript or other return information free of charge. See the product list below. You can also call 1-800-829-1040 toorder a transcript. If you need a copy of your return, use Form 4506, Request for Copy of Tax Return. There is a fee to get a copy of your return.1a Name shown on tax return. If a joint return, enter the name shown first.1b First social security number on tax return oremployer identification number (see instructions)2a If a joint return, enter spouse’s name shown on tax return2b Second social security number if joint tax return3Current name, address (including apt., room, or suite no.), city, state, and ZIP code4Previous address shown on the last return filed if different from line 35If the transcript or tax information is to be mailed to a third party (such as a mortgage company), enter the third party’s name, address,and telephone number. The IRS has no control over what the third party does with the tax information.Austin Telco Federal Credit Union, 8929 Shoal Creek Blvd, Austin, Tx 78757(512) 302-5555Caution: DO NOT SIGN this form if a third party requires you to complete Form 4506-T, and lines 6 and 9 are blank.6Transcript requested. Enter the tax form number here (1040, 1065, 1120, etc.) and check the appropriate box below. Enter only one taxform number per request. a Return Transcript, which includes most of the line items of a tax return as filed with the IRS. Transcripts are only available forthe following returns: Form 1040 series, Form 1065, Form 1120,

Refinance commercial real estate BUSINESS LOAN APPLICATION Each owner, shareholder, partner or member owning 20 percent or more interest in the business must sign a personal guaranty. A minimum of 1 guarantor is required regardless of percent ownership. Additional guarantees may be required.

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