BUSINESS LOAN | LOC APPLICATION Please enable JavaScript in your browser to complete this form.BUSINESS INFORMATIONBusiness LEGAL Name *Business DBA NameEmail *Phone Number *Business WebsiteBusiness LEGAL Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeBusiness PRIMARY Address (if different)Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLayoutName of Business LandlordLandlord Phone NumberENTITY & AUTHORIZED SIGNER INFORMATIONEntity Type *CorporationLLCPartnershipSole ProprietorshipLayoutDate of Organization *State of Organization *Federal Tax ID # *REQUIRED - Complete Authorized Signer info for selected Entity Type. LayoutCorporation - Name of PresidentCorporation - Name & Title of Officer Signing ApplicationLLC - Name of Manager / Managing Member (must be signer of application)Partnership - Name of General Partner (must be signer of application)Sole Proprietorship - Name of Owner (must be signer of application)Number of Partners/Shareholders/Members/Owners in Business (if more then 6, please use space below to list remaining) *123456> 6Names#1 Name *FirstLast#4 NameFirstLast#2 NameFirstLast#5 NameFirstLast#3 NameFirstLast#6 NameFirstLastAdditional Partners/Shareholders/Members/OwnersLayoutHas the Business or Owners ever filed for bankruptcy? *YesNoIf Yes, when?BUSINESS & SALES INFORMATIONBusines Type *LayoutHow long have you owned the Business? *# of Additional Locations *# of Employees *LayoutBanking Institute for Business Account(s) *Has the bank account been open for at least 90 days? *YesNoLayoutTotal Annual Sales - Credit Card *Total Annual Sales - Cash *Is your Business seasonal? *YesNoLayoutIf Yes, % Sales Decrease in Low Volume MonthsIf Yes, List Low Volume MonthsLayout (copy)If your Business is a Restaurant, please provide the following: # of SeatsCuisine TypeCASH NEEDSLayoutTotal Cash Needed *Date Cash Needed *Weekly Payment Business Can Afford *Cash will be used for? (check all that apply - use CTRL key) *ExpansionRenovationsEquipmentInventoryNew/Additional LocationCash FlowPay TaxesMarketingPayoff Existing Loan / FinancingOtherIf Other, please describeEXISTING LOAN / FINANCING (if applicable)LayoutName of Current Lender / FinancingOriginal Amount FundedDo you want to pay off?YesNoCurrent BalanceOriginal Date FundedCurrent RateLOAN GUARANTOR INFORMATIONLoan Guarantor must be an Authorized Signer of Legal Entity. Name *FirstLastHome Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLayoutOwn or Rent? *OwnRentHow long (own or rent)? *LayoutEmail *Social Security # *Phone Number *Drivers License # *Date of Birth *Drivers License State *LayoutHas Guarantor ever declared personal bankruptcy? *YesNoDoes Guarantor have any collection issues pending? *YesNoIf Yes, include date of bankruptcy?The below documents will be required for initial submission to underwriting:Business - EIN letter from IRS or 1st page of prior year tax returnBusiness - 1 month most recent credit card processing statementsBusiness - 3 months most recent bank statementsBusiness - Voided check or verification letter for all bank accountsBusiness - Schedule C or All LLC Member Schedule K1s from prior year tax returnBusiness - Bylaws, Operating Agreement or Partnership Agreement with Signature(s) (must be signed copies)Business - Current loan/financing statement (if applicable)Signer / Loan Guarantor - Primary form of ID - drivers license, passportSigner / Loan Guarantor - 2nd form of ID - major credit card, voter registration cardSIGNATURE OF AUTHORIZED SIGNER & LOAN GUARANTORI hereby give permission to NEXA Mortgage LLC ("NEXA") and/or ARF Financial, LLC ("ARF"), or any agent or credit-reporting agency that it may designate, to obtain any and all information concerning my assets and other credit matters, which they may require in connection with this credit Application. I specifically acknowledge and agree that (1) all statements which I have made in this Application are made for purposes of obtaining the financing, (2) verification and reverification of any information which I have supplied in connection with this Application may be made at any time by NEXA/ARF, either directly or through a credit reporting agency, from any source named in this Application and the original copy of the Application will be retained by NEXA/ARF, even if the financing is not approved, (3) NEXA/ARF will rely on the information which I have supplied herein and I have the continuing obligation to amend and/or supplement that information if any of the material facts which I have represented should change prior to the total obligations under the credit Agreement being paid in full and (4) each Guarantor, upon request from time to time by NEXA/ARF, will provide NEXA/ARF with financial statements and such other information as NEXA/ARF deems appropriate, all in form and detail satisfactory to NEXA/ARF. This Application is part of a credit review process and additional information may be required. NEXA/ARF may render a credit decision on this application or may elect to submit this Application to one or more banks on the applicant's behalf and any institution considering this Application shall make its own credit decision regarding this Application. The sales representative submitting this Application cannot extend credit or commit to any financing or funding until a credit decision has been made by the appropriate institution. Name - Authorized Signer / Loan Guarantor *Please complete the above application in full and submit. Once received, the Durnford Team (NEXA Mortgage LLC) will review and forward the completed application to the Authorized Signer/Loan Guarantor for eSignature.Submit