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Please Note: This is not an online form. Once you type in the information,please print out and fax or bring in to the nearest location.
Please choose types of loan you are applying for (check as many as apply).
Commercial Line of Credit
Commercial Revolving Account
Real Estate Loan
Contact Phone #
Contact Fax #
Contact Email Address
Please choose one form of Management Structure.
Sub-Chapter S Corporation
Limited Liability Company
TBA or DBA
Please declare percentages, names of companies owned and by whom:
Please list Key Management
Years with Company
Life Insurance Amount
Please list Subsidiaries or Affiliates (Owned by applicant or by management or owners of applicant).
Affiliate's Name 1
Owned by Whom
Line of Business
Affiliate's Name 2
Affiliate's Name 3
Affiliate's Name 4
City/State of Founding
State of Incorporation
Type of Business
Number of Full Time Employees
Number of Part Time Employees
Number of Employees Total
Please enter information on your 4 largest Customers.
Please enter information on your 4 largest suppliers.
Source of Loan Repayment:
Please check reason for Loan Request (check all that apply).
Purchase of Inventory
Purchase/Refi of Real Estate
Growth of Accounts Receivable
Purchase of a Business
Buy-Out of Partner/Shareholder
Purchase of Equipment
Other (Please specify)
Payment Schedule Requested
Single Pay with quarterly interest payments
Please check requested Term of Loan
Other (Please Specify)
Please Check Collateral Offered or Available (check all that apply).
Cash (My Acct #):
Personal Assets (Please Specify)
Other Assets (Please Specify)
If yes to any of the following questions, please explain.
1. Are there any claims or lawsuits pending?
2. Are any State or Federal Income, Withholding, Sales or Property taxes delinquent?
3. Does any liability exist for any accounts via leases, guarantees, commitments or other contingency agreements?
4. Have there been any bankruptcies or judgments?
5. Is there any collateral offered to PointBank currently pledged to other creditors?
6. Are any assets held in a Trust?
It is understood that this may not be a complete application and PointBank may need additional information to properly evaluate the credit request.
The Following Information may also be Required:
Name and Address of Landlord
Additional Comments (if any)
By signing or submitting this application the applicant(s) specifically acknowledge and agree that: (1) All statements made in this application are made for the purpose of obtaining the loan indicated herein; (2)Verification or reverification of any information contained in the application may be made at any time by the lender, its agents, successors, and assignees, either directly or through a credit reporting agency, from any source named in this application; (3)The original copy of this application will be retained by the lender, even if the loan is not approved;(4)The Lender, its agents, successors and assignees will rely on the information contained in the application and I/we have a continuing obligation to amend and/or supplement the information provided in this application if any of the material facts which I/we have represented herein should change prior to closing; (5) In the event my/our payments on the loan indicated in this application become delinquent, the lender, it's agents, successors and assignees, may, in addition to all other rights and remedies, report my/our name(s) and account information to a credit reporting agency; (6) ownership of the loan may be transferred to a successor or assign of the Lender without notice to me and/or the administration of the loan account may be transferred to an agent, successor or assignee of the Lender with prior notice to me; and (7) that all expenses for legal fees, title examination, appraisal, and settlement or other charges of the loan are to be paid by the borrower.
Certification: I/We certify that the information provided in this application is true and correct as of the date of submission on this application and acknowledge my/our understanding that any intentional or negligent misrepresentation(s) of the information contained in this application may result in civil liability and/or criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Section 1001, et seq. and liability for monetary damages to the Lender, its agents, successors and assigns, insurers and any other person who may suffer any loss due to reliance upon any misrepresentation which I/we have made on this application.
Please bring this loan application to the location which is most convenient to you. We will need your signature and identification to be provided at any one of our locations for the new loan documents. (It can be provided at any one of our convenient locations).
Upon receiving your application, we will attempt to contact you within 24 hours and notify of any additional information needed for this loan. If you should not hear from us, please contact us at 940-686-7000.
By submitting this form, I accept that it is legally binding.
Please bring your completed business loan application to the PointBank branch nearest to you.
PointBank Branch Locations: Argyle Branch, Aubrey Branch, Denton North Branch, Denton South Branch, Corinth Branch, Lewisville Branch, Flower Mound Branch, Little Elm Branch, Pilot Point Branch
P.O. Box 278 · Pilot Point, TX 76258 USA(940) 686-7000 or (972) 434-3200
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