Commercial Loan Application

Instructions: Please review this entire form before beginning. You may need to enter data not immediately available. Once the form has been sent, you will not be able to go back and make corrections. We suggest printing your completed from before sending. If you are not applying with a co-applicant, please leave the Co-Applicant section blank. All fields marked with an asterisk (*) are required.

Business Information


Business Type: *

If you entered "Other" above, please enter the

Business Industry: *

If you entered "Other" above, please enter the


Check this box if the business mailing address is different than physical business address.

Management / Ownership Information

Manager / Owner One

Is this person a decision maker? *

Is this person actively involved? *

Use this button to add additional managers / owners.

Credit Request

Credit One

Use this toggle button to add additional credit requests.

Banking Information

Business Bank

Outstanding Loans

General Information

General Information

Do any of the owners listed on this application have an ownership, interest or continual liability in another company? *

If you answered "Yes" to the previous question, please complete the following three questions:



Is the business an endorser, guarantor, or co-maker for obligations not listed on its financial statements? *

Is the business a party to any claim or lawsuit? *

Has the business ever declared bankruptcy? *

Does the business use hazardous substance in the normal course of business? *


Are any owners a Non-U.S. Citizen? *

If you answered "Yes" to the previous question, please provide the following:



May we contact the CPA or Tax Preparer? *

If you answered "Yes" to the previous question, please provide the following:


Endorsement

I certify that all information provided by me herein, including attachment(s) is true, correct and complete. I authorize Farmers State Bank of Waupaca to make whatever inquiries about me that is deemed necessary and appropriate for the purpose of evaluating my credit, including obtaining credit reports and contacting my employer. I also authorize Farmers State Bank of Waupaca to provide credit information about my credit experience with the bank to other creditors and credit reporting agencies. I agree to provide any further information the Bank might require to process my application.

Please also complete and submit a Personal Financial Statement.

The Loan Officer reviewing your request will also need th following information / documents: