GATEWAY HARVEST INVESTMENT CLUB OF ST by 4hRKVe0C

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									                                    GATEWAY HARVEST, LLC
                                        Send loan applications to:
          Jerry McAdams, 504 Lake Ave, St. Louis, MO 63108 jlmcadam@swbell.net 314 454 1772

Your name: _____________________________ Name of business: _____________________________
Phone number: ____________________ Best time to reach you: _______________________________
Email: __________________________ Address: ____________________________________________

                        Executive Summary (one page, typewritten, please)

1. Your business: (Brief description, history, customer base, competition, number of employees,
   who is the borrower – sole proprietorship, partnership, corporation)




2. Your personal and business background:




3. Your request for a loan: (Purpose, amount, period of time)




4. Do you have property and liability insurance? Yes ___ No ___
5. Have you or your business partners ever:
      Been convicted of a felony? Yes ___ No ___
      Filed for bankruptcy? Yes ___ No ___
      Had any of your business property foreclosed upon? Yes___ No___
      Are any lawsuits or administrative proceedings now pending or threatened against you or
      your business? Yes ___ No ___
      If any of the above is answered “Yes”, please provide details as an attachment.

In connection with my loan application to the Gateway Harvest Investment Club, LLC, I hereby
authorize the Gateway Harvest Investment Club to verify and collect credit information including, but
not limited to, bank references and trade and credit references.

Signature: ______________________________ Printed Name: ______________________________
Date: _________________________
                                                                                     1
                                       CREDIT HISTORY

Business Loans
Name                                        Amount            Terms             Date of payoff




Personal Loans
Name                                        Amount            Terms             Date of payoff




Total monthly payments: $____________
People who can vouch for your credit worthiness (minimum of two)
Name: __________________________ Number: _____________________________
Name: __________________________ Number: _____________________________

Trade references (minimum of two)
Name: __________________________ Number: _____________________________
Name: __________________________ Number: _____________________________

Please attach a copy of your last two Income statements (Revenue, Expenses), balance sheet (Assets,
Liabilities) and your Business Income Tax forms (i.e., 1065 and/or Schedule F).

Please attach a copy of your Income (revenue, expenses) projections for the current or upcoming
year.


If you like to expand on our understanding of your business and need, please do so as an
attachment.




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