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Western State Bank

Business Loan Application

Business Applicant Information

Physical Address

Mailing Address

Credit Request
Applicant is a
Marital Status (if individual borrower)

Business Type

Individual
Corporation
Partnership
Other

Loan Information

Loan Type

Collateral

Ownership Status
Ownership Status
Ownership Status

Ownership Information

Financial Information

Business Deposit Accounts

Business Debt (Include all debt - accounts, trade payable, bank debt, or current Western State Bank debt, etc.)

Business Information

Has the Applicant/Guarantor/Co-applicant ever declared bankruptcy?
Has the Applicant/Guarantor/Co-applicant brought at party to claim or lawsuit?
Are there any state or federal liens against the Applicant/Guarantor/Co-applicant?
Are any of the tax obligations of the Applicant/Guarantor/Co-applicant past due?
Does the Applicant lease the occupied building?

References

Please indicate the Western State Bank products/services you may use

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT: 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 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

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