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Business Loan Application
Page 1 of 3
Borrowing Entity Information
Business Legal Name
Mailing address: Street City State Zip
Business Phone Email
Contact Phone
Business Description
Year
Established
Annual Revenue
Number of Employees
Were gross annual revenues in the previous fiscal year $1,000,000.00 or less?
Yes No
If you answered yes and your application is denied, you have the right to receive written a written statement of the specific reasons for this denial. To obtain
the statement, please contact: Opus Bank, Attn: Credit Specialist, 19900 MacArthur Blvd. 12
th
Floor, Irvine, CA 92612 within 60 days from the date that you
were notified of our decision. We will send you a written statement of reasons for the denial within 30 days of receiving your request. The notice below
describes additional protections extended to you.
NOTICE: The federal Equal Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national
origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant’s income derives
from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal
agency that administers compliance with this law concering this creditor is Federal Deposit Insurance Corporation, Consumer Response Center,1100 Walnut
St, Box 11, Kansas City, MO 64106.
ORAL AGREEMENTS OR ORAL COMMITMENTS TO LOAN MONEY, TO EXTEND CREDIT, OR TO FORBEAR FROM ENFORCING REPAYMENT OF
A DEBT ARE NOT ENFORCEABLE UNDER WASHINGTON LAW.
Individual(s)
Trust
General Partnership
Limited Partnership
Corporation
Limited Liability Company
Other
Tax ID #
(if Individual or Trust, proceed to Subject Property Information. If Irrevocable Trust, please provide Tax ID number:
(
)
List the names of Partners in the Borrower Entity (Partnership), Members of the Borrower Entity (LLC), and Shareholders of the Borrower Entity (Corporation)
having a 25% interest or greater. Also list any general partners (Partnership), managers or managing members (LLC), and any directors (corporation) and
indicate that such person or entity controls the Borrower. (Use separate sheet if necessary)
Name/Title Social Security Number Control Ownership
A
%
B
%
C
%
D
%
E
%
F
%
Banking Relationships
Name of Financial Institution(s) Account Type/Number Average Balance(s)
Existing Loans
Financial Inst
Loan Type
Orig loan/ line
Amount
Current Balance Maturity Date Monthly Pmnt Collateral Pledged
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