Business Loan Application Form

Business Loan Application

Applicant/Request
Applicant - Business Name

Business Physical Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Business Mailing Address (If Different)

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

Area Code Phone Number
Email
example@example.com
How many employees (including the owners) does the business have now?
Full time (30.5 hrs/wk or more)
Part time (less than 30.5 hrs/wk)
Ownership Listing
1

First Name Full Middle Name (Required) Last Name % Ownership
2

First Name Full Middle Name (Required) Last Name % Ownership
3

First Name Full Middle Name (Required) Last Name % Ownership
4

First Name Full Middle Name (Required) Last Name % Ownership
Project Description (why loan is needed?):
Loan Amount Requested from NCIC:
Total Project Amount:

Business Loan Application

Attachments and Signatures
The following supporting information is being sent to NCIC with this application:
Most Recent 3 Years Business Federal Tax Returns

Upload Files

Cancel of
Most Recent 3 Years Personal Federal Tax Returns for Each Owner

Upload Files

Cancel of
Year to Date Financials (Profit & Loss and Balance Sheet)

Upload Files

Cancel of
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.
Completed Business Debt Schedule and Personal Financial Statement(s):

Upload Files

Cancel of
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.
Owner's Name
Please Initial to Acknowledge Applying for this Loan
Date

Month Day Year
Date Date Picker Icon

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).
I agree that the information herein are true and correct

Yes
Should be Empty:

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Business Loan Application

Business Loan Application

Business Loan Application

Business Owner 1

Business Loan Application

Business Owner 2

Business Loan Application