Member FDIC, Equal Housing Lender
Business must be located in Saginaw, Bay, or Midland County. Maximum Aggregate Credit Exposure $250,000. (Customers with existing loans at 1st State Bank please contact your Business Lender)
List any individual who has 20% or more ownership or would be a guarantor of the loan.
|Owner/Guarantor #1 Name||Title||Ownership Percentage||SSN#/TIN#||Date of Birth||Phone|
|Owner/ Guarantor #2 Name||Title||Ownership Percentage||SSN#/TIN#||Date of Birth||Phone|
|Owner/ Guarantor #3 Name||Title||Ownership Percentage||SSN#/TIN#||Date of Birth||Phone|
|Owner/ Guarantor #4 Name||Title||Ownership Percentage||SSN#/TIN#||Date of Birth||Phone|
A. If multiple applicants/ guarantors are joining in on this application, the undersigned intend to apply jointly as Borrowers and/or Guarantors of the loans for the company listed on the application, if applicable. The assets and income of each Borrower and Guarantor will be relied upon as a basis for the loan request.
B. Each undersigned (1) certifies that all information furnished and to be furnished in connection with this application is and will be true and complete, without omission of information, and fairly represents the financial condition of the Borrowers and/or Guarantors; and (2) grants connection with the application, including but not limited to business and personal credit reports.
C. The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant's income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The Federal agency that administers compliance with this law concerning this creditor is FDIC Consumer Response Center, 1100 Walnut Street, Box #11, Kansas City, MO 64106.