Commercial Credit Application Member FDIC

LOAN REQUEST (Please check all that apply)

Specific Business Purpose Check one of the following
☐ Line of Credit ☐Purchase: ☐Home Improvement (rental property
including 1-4 and multi-family):
☐ Term Loan
☐Refinance/Renewal: ☐Other (Specify):

If existing Arvest loan

specify original purpose: If working capital specify use:

Notice of Joint Intent

We intend to apply for joint credit.

(initial) Applicant: Co-Applicant: Co-Applicant: Co-Applicant:

Amount Requested Term Collateral Description Collateral Value

☐ Purchased ☐ Refinanced ☐ N/A

BUSINESS INFORMATION
Business Legal Name / Individual Name Current Customer Federal Tax Identification Number / SSN Number of Business Phone
☐ Yes ☐ No Employees
(select one)
Business Street Address City State Zip County

Mailing Address City State Zip State of Registration

CRA Address *The physical location where the loan’s funds will be used. Cannot be P.O. Box. Use cross City State Zip County
streets if no street address available.

E-mail Type of business Date Business

☐ Retail ☐ Wholesale Established
☐ Manufacture ☐ Service

Organization/Business Type ☐ Sole Proprietorship ☐ General Partnership ☐ Limited Partnership ☐Farm ☐Other (specify) Present Management
Since
☐ C Corporation ☐ S Corporation ☐ Limited Liability ☐ Partnership ☐ Limited Liability Company

Description of Business, Products, Services Gross Annual Business Revenue

FINANCIAL INFORMATION
Primary Bank How Long? Average Business Checking Account Balance?

1. Does your business owe any taxes from prior years? ☐ Yes ☐ No 2. Is the business liable for any debts not listed on the application?
How much? $ ☐ Yes ☐ No How much? $
3. Is the business a party to any claim or lawsuit? ☐ Yes ☐ No 4. Has the business or any guarantor ever been involved in bankruptcy or insolvency proceedings in the last 10
years?
☐ Yes ☐ No Year? Who (business or guarantor)?
5. Are there any delinquent FICA, withholdings or sales taxes? 6. Has the business or any guarantor ever defaulted on any government guaranteed loans?
☐ Yes ☐ No ☐ Yes ☐ No
7. Is the business for sale or under agreement that would change the 8. Does the business, its owners or majority stockholders have a controlling interest in other businesses?
ownership of the business? ☐ Yes ☐ No ☐ Yes ☐ No (Please List)

Current Business Debt Information (attach additional document if needed)

Creditor Type of Original Amount Current Balance Monthly Payment ☐ Int. Only Maturity Date To Be Refinanced
Debt/Purpose ☐Mo. P &I with Requested
☐Other Funds
☐ Yes ☐ No
Creditor Type of Original Amount Current Balance Monthly Payment ☐ Int. Only Maturity Date To Be Refinanced
Debt/Purpose ☐Mo. P &I with Requested
☐Other Funds
☐ Yes ☐ No
Creditor Type of Original Amount Current Balance Monthly Payment ☐ Int. Only Maturity Date To Be Refinanced
Debt/Purpose ☐Mo. P &I with Requested
☐Other Funds
☐ Yes ☐ No
Creditor Type of Original Amount Current Balance Monthly Payment ☐ Int. Only Maturity Date To Be Refinanced
Debt/Purpose ☐Mo. P &I with Requested
☐Other Funds
☐ Yes ☐ No
Creditor Type of Original Amount Current Balance Monthly Payment ☐ Int. Only Maturity Date To Be Refinanced
Debt/Purpose ☐Mo. P &I with Requested
☐Other Funds
☐ Yes ☐ No

CLS COMMERCIAL APPLICATION 2017-10-02

 Member FDIC

GUARANTOR INFORMATION (must state 100% of ownership)

Name Contact Phone % of Ownership Social Security#

Home Street Address City State Zip Date of Birth

Annual Gross Salary Other Income Amount* Other Income Source Monthly Housing Payment ☐ Own ☐ Rent

Name Contact Phone % of Ownership Social Security#

Home Street Address City State Zip Date of Birth

Annual Gross Salary Other Income Amount* Other Income Source Monthly Housing Payment ☐ Own ☐ Rent

* Alimony, child support, or separate maintenance income need not to be revealed if you do not wish to have it considered as a basis for repaying this obligation.

GUARANTOR'S PERSONAL FINANCIAL STATEMENT (Duplicate for additional Guarantors)

ASSETS LIABILITIES
$Monthly
$VALUE $Balance
Payment(s)
Cash not held in banks Mortgage company:

Checking Balance - Bank: Rentals (Itemize below)

Savings Balance- Bank: Other (specify):

Primary Residence Loans (Itemize/example: Arvest Bank Auto Loan)

Other Real Estate (Describe below)

Marketable Securities (NYSE, OTC ASE)

Retirement Plans
(401K/Thrift Pension)
IRA

Cash Value of Life Insurance Revolving Charge Accounts

Face Value:
Other Investments (Describe) (Itemize/Example: VISA)

Other Partnership
Interest/Business Interests
Automobiles – Number:

Other Assets (Describe)

Other Liabilities (Describe)

TOTAL ASSETS: TOTAL LIABILITIES:

NET WORTH (Total Assets minus Total Liabilities)

DETAILED SCHEDULE OF REAL ESTATE (If additional properties owned, attach separate schedule)
Type of Present Mortgage Gross Rental Current Mortgage
Address of Property Monthly Payment
Property Market Value Holder Income Balance

Applicant(s) hereby certify that all of the statements above and any other documents provided to the Bank to consider this extension of credit are true and complete as of the date given. Applicant(s) authorize
Bank to verify all of the above information given, to obtain a credit report or any other verification of credit references, and to make such other investigations as the Bank deems appropriate. Applicant(s) agree to
notify the Bank promptly of any adverse change in their financial condition. Applicant(s) also certify that all loan proceeds will be used exclusively for business related purposes. If the business is a corporation or
partnership, all authorized owners/principals must sign and include their corporate/partnership title.

Applicant(s) further authorize the Bank to provide any, or all of the information provided to the Bank in connection with this Application, to a third party credit processing service via the Internet, as part of the
Bank's evaluation of the Applicant's creditworthiness, and Applicant(s) hereby release the Bank from any liability for any damages sustained by Applicant(s) in connection with the Bank's use of said third
party credit processing service.

X
Signature Printed Title Date
X
Signature Printed Title Date
For official use only 
Date Received:             /            /             Officer Code:             Region:             Branch:             Application No.:            

CLS COMMERCIAL APPLICATION 2017-10-02

  
         Home Mortgage Disclosure Act     |     Demographic Information of Borrower 
(This information is to be filled out if the loan purpose is home purchase, home refinance, or home improvement ONLY. This includes commercial loans for the 
purpose of purchasing 1‐4 family rentals or investment properties, multi‐family properties, apartments, condos, townhomes, etc. and the refinance or 
improvement of said properties.) 
Date of Application:               Loan Number:              

Applicant’s Name:             Co‐Applicant’s Name:      

 

The purpose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities and neighborhoods 
are being fulfilled. For residential mortgage lending, federal law requires that we ask applicants for their demographic information (ethnicity, sex, and race) 
in  order  to  monitor  our  compliance  with  equal  credit  opportunity,  fair  housing,  and  home  mortgage  disclosure  laws.  You  are  not  required  to  provide  his  or 
her information, but are encouraged to do so. The law provides that we may not discriminate on the basis of this information, or on whether you choose to 
provide it. However, if you choose not to provide the information and you have made this application in person, federal regulations require us to note your 
ethnicity, sex and race on the basis of visual observation or surname. The law also provides that we may not discriminate on the basis of age or marital status 
information you provide in this application. Instructions: You may select one or more “Hispanic or Latino” origins and one or more designations for “Race.” If 
you do not wish to provide some or all of this information, select the applicable check box. This information is not required for entity borrowers. 
APPLICANT  CO‐APPLICANT 
Ethnicity    Ethnicity   
 Hispanic or Latino   Not Hispanic or Latino   Hispanic or Latino   Not Hispanic or Latino 
 Mexican   I do not wish to provide   Mexican   I do not wish to provide this 
 Puerto Rican  this information   Puerto Rican  information 
 Cuban   Cuban   
 Other Hispanic   Other Hispanic   
or Latino  or Latino   
______________  ___________   
 
                   Examples: Argentinean, Colombian, Dominican, Nicaraguan,                             Examples: Argentinean, Colombian, Dominican, Nicaraguan,           
Salvadoran, Spaniard, etc                                         Salvadoran, Spaniard, etc. 
Race/National Origin:     Race/National Origin:    
 American Indian or Alaska   Black or African American   American Indian or Alaska   Black or African American 
Native‐ Enter name of   Native Hawaiian or Other  Native‐ Enter name of   Native Hawaiian or Other 
enrolled or principal tribe:  Pacific Islander  enrolled or principal tribe:  Pacific Islander 
_____________   Native Hawaiian  _____________   Native Hawaiian 
 Asian   Guamanian or         Asian   Guamanian or       
 Asian Indian                    Chamorro   Asian Indian                    Chamorro 
 Chinese    Samoan   Chinese    Samoan 
 Filipino   Other Pacific     Filipino   Other Pacific   
 Japanese                    Islander‐  Japanese                    Islander‐
 Korean  Enter race:   Korean  Enter race: 
 Vietnamese  ________________        Vietnamese  ________________      
                  Examples: Fijian, Tongan,etc.                    Examples: Fijian, Tongan,etc. 
 Other Asian‐  Other Asian‐
Enter race:        
 White   Enter race:                 
 White 
                              _____________   I do not wish to provide                                _____________   I do not wish to provide 
                              Examples: Hmong,    this information                                   Examples: Hmong,    this information 
                                 Laotian,Thai,Pakistani,                                         Laotian,Thai,Pakistani,       
                                 Cambodian,etc.                                   Cambodian,etc. 
Sex:    Sex:   
 Male   I do not wish to provide this information   Male   I do not wish to provide this information 
 Female   Female 
To be completed by Financial Institution (for an application taken in person):      
Was the ethnicity of the Applicant collected on the basis of visual  Was the ethnicity of the Co‐Applicant collected on the basis of visual 
observation or surname?      ___ YES      ___ NO  observation or surname?       ___ YES      ___ NO 
Was the sex of the Applicant collected on the basis of visual observation  Was the sex of the Co‐Applicant collected on the basis of visual observation 
or surname?                            ___YES        ___ NO  or surname?                             ___YES        ___ NO 
Was the race of the Applicant collected on the basis of visual   Was the race of the Co‐Applicant collected on the basis of visual 
observation or surname?     ___YES        ___ NO  observation or surname?       ___YES        ___ NO 
The Demographic Information was provided through:     
 Face‐to‐Face   Telephone Interview  Interviewer’s Name:  Branch: 
(includes Electronic   Fax or Mail 
Media w/ Video 
Component) 
 Email or Internet 

CLS COMMERCIAL APPLICATION 2017-10-02

 Addendum for Additional Borrower Information

GUARANTOR INFORMATION (must state 100% of ownership)

Name Contact Phone % of Ownership Social Security#

Home Street Address City State Zip Date of Birth

Annual Gross Salary Other Income Amount* Other Income Source Monthly Housing Payment ☐ Own ☐ Rent

Name Contact Phone % of Ownership Social Security#

Home Street Address City State Zip Date of Birth

Annual Gross Salary Other Income Amount* Other Income Source Monthly Housing Payment ☐ Own ☐ Rent

Name Contact Phone % of Ownership Social Security#

Home Street Address City State Zip Date of Birth

Annual Gross Salary Other Income Amount* Other Income Source Monthly Housing Payment ☐ Own ☐ Rent

Name Contact Phone % of Ownership Social Security#

Home Street Address City State Zip Date of Birth

Annual Gross Salary Other Income Amount* Other Income Source Monthly Housing Payment ☐ Own ☐ Rent

Name Contact Phone % of Ownership Social Security#

Home Street Address City State Zip Date of Birth

Annual Gross Salary Other Income Amount* Other Income Source Monthly Housing Payment ☐ Own ☐ Rent

Name Contact Phone % of Ownership Social Security#

Home Street Address City State Zip Date of Birth

Annual Gross Salary Other Income Amount* Other Income Source Monthly Housing Payment ☐ Own ☐ Rent

Name Contact Phone % of Ownership Social Security#

Home Street Address City State Zip Date of Birth

Annual Gross Salary Other Income Amount* Other Income Source Monthly Housing Payment ☐ Own ☐ Rent

Name Contact Phone % of Ownership Social Security#

Home Street Address City State Zip Date of Birth

Annual Gross Salary Other Income Amount* Other Income Source Monthly Housing Payment ☐ Own ☐ Rent

Name Contact Phone % of Ownership Social Security#

Home Street Address City State Zip Date of Birth

Annual Gross Salary Other Income Amount* Other Income Source Monthly Housing Payment ☐ Own ☐ Rent

CLS COMMERCIAL APPLICATION 2017-10-02