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Loan Application Form

Stock or refinance company recievable
for expansion
Equipment Purchase / Lease
Vehicle Purchase
Enter description and amount
Business Locations
Location Address details Owned/Rented If rented, annual rent Sales/warehouse/factory
Owners of the Business
Name Address Phone Number Email Address
Management
Name Address Phone Number Email Address
Sales Revenue
Location Sales Last Year Sales Cur Yr. to date Monthly sales Daily Sales
Key Business Financials
Value in N'000 Value in N'000
Land and premises owned Bank loans and overdraft
Cars and trucks Loans from family and friends
Generators & equipment Owed to goods suppliers
Stock of unsold goods Taxes unpaid
Prepaid Rent Rent unpaid
Debtors
Cash in bank
Total
Customer Profile
Customer Profile
Bank Details
Bank Name Branch Account No Date opened Monthly Turnover
Business Debts

List all business debt including lines of credit, equipment leases or loans, mortgages or shareholder loans and other liabilities

Biz Loan 1 Biz Loan 2 Biz Loan 3 Biz Loan 4
Type of Loan
Lender's Name
Date Granted
Original amount granted
Current Balance
Monthly Payment
Collateral
Details of Principal Business Owner and Guarantor (as co applicant)

List all business debt including lines of credit, equipment leases or loans, mortgages or shareholder loans and other liabilities

Principal Business Owner Guarantor (as Co-applicant)
Name: Name:
Date of Birth: Date of Birth:
BVN: BVN:
Marital Status: Marital Status:
Home Address: Home Address:
Personal Email: Personal Email:
Personal Phone: Personal Phone:
Business Address: Business Address:
Business Phone: Business Phone:
Business Email: Business Email:
Employer and Address: Employer and Address:
Occupation/Title Occupation/Title
Length of Service Length of Service

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