LOAN INFORMATION

Amount of financing requested: ___________________________________________________

Source of equity and applicant's percentage of ownership:  ___________________________
_______________________________________________________________________________

Participating Bank and Contact:  ___________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________


FINANCIAL INFORMATION:

Financial statements on business or individual for the
Current Year, (within 45 days)
and
Past Three (3) Years, including profit and loss statements and tax returns. If the
business is new, submit your personal tax returns for the
Past Three (3) Years.


JOB DATA:
Present number of employees:  ____________________ After Loan:   ___________________


CREDIT REFERENCES:     Names and addresses of three references

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________


COLLATERAL:

__________________________________________________________________________________________

__________________________________________________________________________________________


NOTIFICATION: If the project meets preliminary loan criteria, a loan processing fee of $250.00 is required.


______________________________________       _____________________________________
Company Name                                                        Applicant's Signature

Date Submitted:  __________
IV.
LCEDC LOAN APPLICATION FORM
Page Two
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USEFUL FORMS
LCEDC  /  212 WEST OKLAHOMA  /  GUTHRIE, OK 73044  /  405.880.1240 /  kaywade@logancountyedc.com
IX.
LCEDC is and Equal Opportunity Provider and Employer.