• Business Loan Application

    Applicant/Request
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  • How many employees (including the owners) does the business have now?

  • Ownership Listing

  • Business Loan Application

    Attachments and Signatures
  • The following supporting information is being sent to NCIC with this application:

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  • Business Debt Schedule and Personal Financial Statement(s):
    Please note, a personal financial statement is required for each buisness owner.

    Click HERE to download forms.

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  • By submitting this application, the applicant is agreeing that loan related fees, expenses and alike are the applicant's responsibility, be it legal, UCC filing and recording fees, taxes or otherwise.

    NCIC's interest rates and fees are calculated based on the risk of the loan. Therefore to achieve the optional rate, the applicant is encouraged to work with us in structuring a solution to mitigate that risk.

  • Signatures

    Undersigned hereby certifies that the enclosed application information including all attachments, exhibits, schedules and supporting documents are valid, accurate and complete as of the stated date(s). These statements are made for the purpose of obtaining a loan. False statements may result in the forfeiture of benefits. I/We authorize disclosure of all information submitted in connection with this application to any financial institution interested in participating in this financing. I/We consent to have NCIC obtain any and all information regarding my/our employment, checking and/or savings accounts, credit obligations and all other credit matters which it may require in connection with this application.

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  • Business Loan Application

    Credit Authorization
  • Business Owner 1

  • I hereby authorize Northern Community Investment Corporation to conduct credit investigations and verifications and to obtain credit bureau reports (including consumer and/or business credit report) on the undersigned and any other entity of which I am a principal.

    In addition, and notwithstanding anything to the contrary, I also expressly authorize the release of any financial/organizational information or data from third party sources (Banks, Financial Institutions, Insurance Companies, Attorneys, Accountants, Credit Unions, etc.) to Northern Community Investment Corporation upon its written or verbal request.

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  • The following information is requested by the Federal Government in order to monitor the lender's compliance with the Equal Credit Opportunity Act. You are not required to furnish the information, but are encouraged to do so. The law requires the lender may neither discriminate on the basis of this information, or on whether you choose to furnish it. However, if you choose not to furnish it, under Federal regulations the lender is required to note race and sex on the basis of visual observation or surname. Please select "Yes" from the dropdown box when applicable. If not, select "No" or leave blank.

  • NCIC discounts loans 0.5% for Veterans. The following information is for this purpose as well as reporting to the Federal Government for the above reasons and purposes. If you choose not to furnish, we will assume you are not a Veteran.

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  • Business Loan Application

    Credit Authorization
  • Business Owner 2

  • I hereby authorize Northern Community Investment Corporation to conduct credit investigations and verifications and to obtain credit bureau reports (including consumer and/or business credit report) on the undersigned and any other entity of which I am a principal.

    In addition, and notwithstanding anything to the contrary, I also expressly authorize the release of any financial/organizational information or data from third party sources (Banks, Financial Institutions, Insurance Companies, Attorneys, Accountants, Credit Unions, etc.) to Northern Community Investment Corporation upon its written or verbal request.

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  • The following information is requested by the Federal Government in order to monitor the lender's compliance with the Equal Credit Opportunity Act. You are not required to furnish the information, but are encouraged to do so. The law requires the lender may neither discriminate on the basis of this information, or on whether you choose to furnish it. However, if you choose not to furnish it, under Federal regulations the lender is required to note race and sex on the basis of visual observation or surname. Please select "Yes" from the dropdown box when applicable. If not, select "No" or leave blank.

  • NCIC discounts loans 0.5% for Veterans. The following information is for this purpose as well as reporting to the Federal Government for the above reasons and purposes. If you choose not to furnish, we will assume you are not a Veteran.

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  • Business Loan Application

    Submit my Application
  • PLEASE NOTE:

    Each person with 20% or more ownership of the applicant business is required to complete and sign a separate Credit Authorization. (For those completing this form electronically, additional Credit Authorizations are provided in the tabs below.) Each person who is required to complete a Credit Authorization is also required to complete a Personal Financial Statement (form provided separately).

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