Business Loan Application Packet

Verification of Identity
Application
Personal Financial Statement
On each individual co-borrower/guarantor.

Tax Returns and all chedules

We will need two years of tax returns on each individual.
We will need two years of tax returns on the business (if applicable).

Profit and Loss Statement for Business (if applicable)

Prior year and year to date (YTD).

Balance Sheet for Business (if applicable)

Prior year and year to date (YTD).

How to Submit Your Completed Application:

Once you have completed and gathered all of the required documents you can submit your application one of four ways:

Email your completed application, along with the required supporting documents, to our ending team at
[email protected].

Mail your completed application and supporting documents to:

Malvern Bank
PO Box 120
Malvern, IA 51551

Fax to 712-624-8060

Bring your completed application and additional documents to our location at 404 Main Street, Malvern, IA, during
our regular business hours: Monday – Friday, 9am to 4pm.

If you have any questions while completing your business loan application, please do not hesitate to contact us at
712-624-8686 or [email protected]. We look forward to helping you further the success of your business!

Malvern Bank Loan Application

 Verification of Identity

In general, documents showing the existence of the entity must be collected,

together with unexpired government-issued identification for any authorized
signers.

For Corporation:
1. Filed Articles of Incorporation
2. Bylaws

For Limited Liability Company:

1. Filed Articles or Certificate of Organization.
2. Operating Agreement

For General Partnership:

Partnership Agreement (if available).

For Sole Proprietorship:

1. Unexpired government-issued identification for any authorized signers.

For :
1. Certification of Trust or copy of Trust Agreement.
2. An unexpired government issued identification for the trustee evidencing
nationality or residence and bearing a photograph or similar safeguard.
 Business Loan
Application
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 you for your name, street 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.

LOAN REQUEST

Loan Amount Requested: New Loan Renew/Increase Existing Credit

Purpose:
Terms: Maturity:
Collateral Offered:

BORROWER

Legal Name: DBA:

Street Address:
Mailing Address: E-mail:
Phone Number: Fax Number: Contact Name:
Tax ID Number: Year Established: State:
Type of Entity: Individual Proprietorship Partnership LLC Corporation Trust Association Non-Profit
Business Year End: Nature of Business:
If individual, name and phone number of employer:
If individual, date of birth:

GUARANTOR / CO-MAKER / BUSINESS OWNERSHIP INFORMATION

Each shareholder, partner, or member owning 20% or more interest in the Business Applicant must sign a personal guaranty. A minimum of 1
guarantor is required regardless of percent ownership. Additional guaranties may be required.

Name: Tax ID Number: Business Ownership %:

Street Address:
Mailing Address:
Additional Information: Home Number: Work Number:
Cell Number: E-Mail:
Date of Birth: Relationship: Co-maker Guarantor

Name: Tax ID Number: Business Ownership %:

Street Address:
Mailing Address:
Additional Information: Home Number: Work Number:
Cell Number: E-Mail:
Date of Birth: Relationship: Co-maker Guarantor

Malvern Bank Loan Application

 Business Loan Application continued
FINANCIAL INFORMATION

Tax return filed through what date:

Are any returns being contested or audited? Yes No If yes, describe:
Accountant or Accounting Firm:
Name(s) and Title(s) of persons authorized to borrow money on behalf of the business:

Has the applicant or any Guarantor / Co-applicant ever declared bankruptcy? Yes No When?
Is the Applicant or any Guarantor / Co-applicant a party to any claim or lawsuit? Yes No If yes, describe below:

Is the Applicant or any Guarantor / Co-applicant past due on city/state/federal taxes? Yes No If yes, describe below:

Financial Statement on borrower(s) submitted with application. Date:

Financial Statement on guarantor(s) submitted with application. Date:
Tax Return on borrower(s) submitted with application. Date:
Tax Return on guarantor(s) submitted with application. Date:

BUSINESS DEPOSIT ACCOUNTS

Financial Institution: Type of Account: Current Balance: Average Balance (12 mo.):
Checking Savings CD’s
Checking Savings CD’s

BUSINESS DEBTS - List all business debts, including accounts and trade payables.

To whom payable? Type of Account/Loan: Balance Owed: Payment: Pay off with proceeds:

Term Loan Line C. Card $ / per Yes

Term Loan Line C. Card $ / per Yes
Term Loan Line C. Card $ / per Yes
Term Loan Line C. Card $ / per Yes
If checked, additional business debt information is attached to this application.

NOTICES

This information and the information provided on all accompanying financial statements and schedules is provided for the purpose of obtaining credit for the
Applicant(s) or for the purpose of Applicant(s) guaranteeing credit for others. Applicant(s) acknowledge that representations made in this statement will be relied on
by Creditor in its decision to grant such credit. This Statement is true and correct in every detail and accurately represents the financial condition of the Applicant(s) on
the date given below. Creditor is authorized to make all inquiries it deems necessary, either directly or through any agency employed by Lender for that purpose, to
verify the accuracy of the information contained herein and to determine the creditworthiness of the Applicant(s). Applicant(s) will promptly notify Creditor of any
subsequent changes which would affect the accuracy of this Statement. Creditor is further authorized to answer any questions about Creditor’s credit experience with
Applicant(s). Applicant(s) are aware that any knowing or willful false statements regarding the value of the above property for purposes of influencing the actions of
Creditor can be a violation of federal law, 18 U.S.C. & 1014, and may result in a fine or imprisonment or both. By signing below, each Applicant declares that he/she has
read and understands the Notice Section above and, if applicable, has received the Reg. B notification regarding denied credit and appraisal notice.

REQUIRED SIGNERS: All signers certify they are duly authorized to sign on behalf of applicant.

X
Authorized Signature (Borrower / Guarantor) Print Name Title Date

X
Authorized Signature (Borrower / Guarantor) Print Name Title Date
Malvern Bank Loan Application
Personal Information

Name(s): Phone:

Address:

City: State: Zip

ASSETS LIABILITIES
Cash in Checking Accounts (Itemize in Notes Payable to Banks and Others
Schedule A) $ (Itemize in Schedule G) $
Cash in Savings Accounts Unpaid Taxes
(Itemize in Schedule A) $ (Describe in Schedule H) $
Certificates of Deposit Loans Against Life Insurance
(Itemize in Schedule A) $ (Describe in Schedule B) $
Stocks/Bonds/Mutual Funds Credit Card Debt
(Itemize in Schedule C) $ (Itemize in Schedule I) $
Life Insurance (Cash Surrender) Real Estate Mortgages
(Describe in Schedule B) $ (Itemize in Schedule D) $
Retirement Accounts
(Describe in Schedule A) $ (Itemize in Schedule ) $
Real Estate
(Itemize in Schedule D) $ (Describe in Schedule J) $
Vehicles
(Itemize in Schedule E) $ (Describe in Schedule K) $
Other Personal Property/Assets Additional Adjustments
(Describe in Schedule F) $ (Describe in Schedule ) $
Additional Adjustments
(Describe in Schedule $

Total Assets $ Total Liabilities $

Net Worth (Assets – Liabilities) $

Annual Income

Salary $ Real Estate Income $

Bonuses & Commissions $ Other Income $

Dividends & Interest $

Total Income $

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 CONTINGENT LIABILITIES
As Endorser, Co-maker, or
Guarantor $

On Leases or Contracts $

Legal Claims $

Federal/State Income Taxes $

Other $

Total $

GENERAL

Describe any pledged assets

you have.

Describe any lawsuits you are

involved in.

Have you declared bankruptcy

in last 10 years?

By signing this form, I/We certify that the above information is a true and accurate statement of my/our financial
condition. I hereby authorize the Malvern Bank to verify in any manner it deems appropriate any and all items indicated
on this statement. The undersigned also agrees to notify the Malvern Bank immediately in writing of any significant
adverse change in such a financial condition.

Signature: Signature:

Date: Date:

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 Schedule A: List of Accounts
Institution Type of Account Dollar Amount Maturity Date (if applicable)

Schedule B: Life Insurance

Description Against

Schedule C: List of Securities

Name of Security Type of Security Number of Shares Estimated Cash Value

Schedule D: List of Real Estate

Monthly
Type Location Estimated Market Value Current Mortgage Amount
Payment

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 Schedule E: List of Vehicles
Make Model Estimated Value

Schedule F: Other Assets

Description Amount

Schedule G: List of Notes Due

Interest Monthly Due
Due To Amount Rate Collateral
Payment Date

Schedule H: Unpaid Taxes

Description Amount

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 Schedule I: List of Credit Card Debt
Minimum Monthly
Credit Card Interest Rate
Payment

Schedule J:
Description Amount

Schedule : Other Liabilities

Description Amount

Schedule : Additional Adjustments

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