Business Loan & Asset Based Loan Summary
Please complete thoroughly, and fax to 918-806-2352
CC BFC Name Name of Finance Client Use this to summarize business loans. Risk is mitigated by placing a first position blanket lien on all assets. The lender must pay off all debts of the company so that this new loan is the borrower’s only debt obligation. Borrower Information Legal Name of Borrower Business description Describe the need for money: Telephone Fax
Reason:
Sole Prop. Corporation (public, private, or non-profit) Partnership Other Industry: Personal Guarantees Available? Yes No Age of company: Credit history of guarantors: Excellent Satisfactory Poor Bad If business purchase: Purchase price $ Cash available from buyer: $ List the all assets of the business: Asset Accounts Receivable Marketable Securities Raw Material Inventory Work In Process Inventory (WIP) Finished Goods Inventory Equipment (Orderly Liquidation Value) Intellectual Properties (Patents, copyrights, etc.) Commercial Real Estate Notes Receivable (Remaining Principal) Other Other Total Potential Loan Proceeds
Value $ $ $ $ $ $ $ $ $ $ $
LTV % $ $ $ $ $ $ $ $ $ $ $
Loan Proceeds
List all business debt (remaining balances), both short term and long term:
Accounts Payable Accrued Expenses Long Term Debt Any other debts/liabilities, except Shareholder’s Equity Total Debt Net benefit of the business loan: (Total Potential Loan Proceeds less Total Debt) Please, include with your applications a financial projections for 36 months after the loan is funded. $ $ $ $ $ $
Authorization to Release Credit Information
Name Company Name Address Phone & e-mail
Personal credit report is $20.00. Business credit report is $150.00. Please pay to the order of Concord Capital.
I/We authorize Concord Capital and/or assigns to obtain my/our credit report and/or additional information to determine whether I/We qualify as prospective borrower under the lender’s and the agency’s underwriting standards. Such information includes, but not limited to, employment history and income; bank account balances; business and/or personal credit history; and copies of income tax returns, etc. A photocopy or facsimile of this authorization may be deemed to be the equivalent of the original. This form is for pre-qualification purposes only. This is not a loan application.
Borrower Borrower Borrower Borrower Borrower Borrower
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2013 W Houston Broken Arrow, OK 74012 Ph. 918-806-2350 Fax: 918-806-2352 www.concordcapitalonline.com