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based solely on my own credit-worthiness and income  \nr I am applying jointly with another person who will also be responsible for repayment  \n\n| Company Information (This application must be completed in full to process your request)\u003Cbr>*USA PATRIOT Act Requirements |  |\n| --- | --- |\n| *Legal Name of Company / Individual Name |  |\n| Assumed Name if DBA |  |\n| Business Address |  |\n| Business Accountant / CPA Name Telephone Number |  |\n| Type of Loan Requested\u003Cbr>(Commercial loan application is for commercial line of credit ($25,000-$100,000), commercial vehicle loan ($25,000-$100,000), equipment and commercial real estate products. | Requested Amount |\n| r Commercial Line of Credit r Commercial Vehicle Loan r Commercial Real Estate Term Loan r Equipment r Other   |  |\n| Purpose of Loan |  |\n| r Working Capital r Refinance of Commercial Property r Refinance of Residential Property r Purchase of Commercial Property\u003Cbr>r Finance Purchase of Equipment r Purchase Residence Property (Investment) r Other   |  |\n| Collateral Available (Check all that apply) |  |\n| r Real Estate (Please attach property address.) r Apartment Building r Residential r Commercial\u003Cbr>r Specific Equipment (Please attach equipment list.)\u003Cbr>r All Business Assets (accounts receivable, inventory, machinery and equipment) Primary Residence r Yes r No\u003Cbr>r Cash on Deposit at (Bellco) Branch  Account \\#  |  |\n| Important Information about Procedures for Opening a New Account |  |\n| To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person or entity who opens an account. What this means for you: When you open an account we will ask for your name, address, date of birth and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents. |  |\n| Authorization |  |\n| The undersigned certifies that, to the best of his or her knowledge and belief, all information contained in this loan application and in the accompanying statements and documents is true, complete, and correct. The undersigned agrees to notify Bellco immediately of any material changes in this information. It is further agreed that, whether or not the loan herein applied for is approved, the undersigned will pay or reimburse Bellco for the costs, if any, of surveys, title or mortgage examinations, appraisals, etc. , performed by non-Credit Union personnel with the consent of the applicant. The undersigned authorizes Bellco to contact any financial institution and trade creditors it deems necessary without further notice, including, but not limited to, Dunn & Bradstreet reports or information from credit agencies. |  |\n| Signature Title Date |  |\n| Signature Title Date |  |","cbCaivwp5lW4APag","https://ap.wps.com/l/cbCaivwp5lW4APag","pdf",107602,"English","## Commercial Loan Application\n## Company Information\n## Type and Purpose of Loan\n## Collateral Available\n## Authorization & Signature","[{\"question\":\"Is the loan application for an individual member or an existing member?\",\"answer\":\"The form asks to check whether the applicant is a new member or an existing member.\"},{\"question\":\"What loan types can be selected on this application?\",\"answer\":\"Options include commercial line of credit, commercial vehicle loan, commercial real estate term loan, equipment, or other.\"},{\"question\":\"What does the authorization section require the applicant to confirm?\",\"answer\":\"The undersigned certifies the information is true and complete, agrees to notify Bellco of material changes, reimburses related costs if needed, and authorizes Bellco to contact financial institutions and trade creditors, including through credit agencies.\"}]","Commercial-Loan - Application Form | PDF",1789822327]