Loan Worksheet
Application Date: Loan Officer Initials:
Amount Requested:
Date Application is Complete:
(If application is complete as of the application date, enter the same date for each.)
Gross Revenues $1MM
Borrower/Entity
Co-Borrower(s)
Guarantor(s)
Collateral Description:
(If renewal-state original purpose)
Approval Date:
Approval Terms (including rate, amount, term of loan)
Incomplete Application Letter
Sent Date:
Withdrawal Date:
Denial Date:
Denial Letter Sent Date:
Loan Officer Signature:
Signature(s) of Applicant(s) Intending to Apply for Requested Credit:
_________________________________________ ________________________________________
_________________________________________ ________________________________________
Notice: The federal Equal Credit 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 concerning this creditor is The Federal Reserve Bank, 1000 Peachtree Street, NE, Atlanta, GA 30309-
4470.
Docstoc Description: This document sets forth the basic data regarding a loan which has been applied for. It could be
used by a bank or other lending institution in their normal course of business practice.
or. It could be