Business Loan Application Packet

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

Tax Returns and all schedules

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:

1) Email your completed application, along with the required supporting documents, to our lending team at
loans@malvern.bank.

2) Mail your completed application and supporting documents to:

Malvern Bank
PO Box 120
Malvern, IA 51551

3) Fax to 712-624-8060

4) 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 loans@malvern.bank. 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:

1. Partnership Agreement (if available).

For Sole Proprietorship:

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

For Trust:
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: 600,000.00  New Loan  Renew/Increase Existing Credit

Purpose: Automobile Business for Growth and expansion
Terms: The Bank shall not be liable for any loss sustained by any party. Maturity: 4 Years
Collateral Offered: Supreme Appartments building

BORROWER

Legal Name: Global Automobile Services DBA: Global Motors

Street Address: 302 Main Street, Albert City, IA 50510
Mailing Address: 940 North Twelfth Street, Decatur, IN 46733 E-mail: albertasand@gmail.com
Phone Number: (202)789-4125 Fax Number: (202)856-4125 Contact Name: Alberta Sanders
Tax ID Number: 99-8745236 Year Established: 2017 State: lowa
Type of Entity:  Individual  Proprietorship  Partnership  LLC  Corporation  Trust  Association  Non-Profit
Business Year End: 2020 Nature of Business: Automobile Services
If individual, name and phone number of employer: Aleah Davis , (202) 856-9856
If individual, date of birth: 10/01/1989

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: Esteban Martin Tax ID Number: 88-8563245 Business Ownership %:

Street Address: 940 North Twelfth Street, Decatur, IN 46733
Mailing Address: 12 Warren Road, Bourne, MA 02532
Additional Information: Home Number: (508)856-9856 Work Number: (508) 856-7458
Cell Number: (508) 523-6523 E-Mail: estebanmart@gmail.com
Date of Birth: 05/01/1990 Relationship:  Co-maker  Guarantor

Name: Forrest Lee Tax ID Number: 85-8541236 Business Ownership %:

Street Address: 231 Road 24A, Longton, KS 67352
Mailing Address: 12 Warren Road, Bourne, MA 02532
Additional Information: Home Number: (505) 859-9874 Work Number: (505) 745-9856
Cell Number: (505) 745-9856 E-Mail: forrestlee@gmail.com
Date of Birth: 10/01/1985 Relationship:  Co-maker  Guarantor

Malvern Bank Loan Application

 Business Loan Application continued
FINANCIAL INFORMATION

Tax return filed through what date: 12/31/2020

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

Financial Statement on borrower(s) submitted with application. Date: 12/31/2020

Financial Statement on guarantor(s) submitted with application. Date: 12/31/2020
Tax Return on borrower(s) submitted with application. Date: 12/31/2020
Tax Return on guarantor(s) submitted with application. Date: 12/31/2020

BUSINESS DEPOSIT ACCOUNTS

Financial Institution: Type of Account: Current Balance: Average Balance (12 mo.):
Malvern Bank Checking Savings CD’s $ 10,000 $40,000
Citibank Checking Savings CD’s $20,000 $50,000

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:

Malvern Bank  Term Loan  Line  C. Card $20,000 $ 500 / per month  Yes
Citibank  Term Loan  Line  C. Card $30,000 $ 500 / per month  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 Alberta Sanders Borrower 12/31/2021

Authorized Signature (Borrower / Guarantor) Print Name Title Date

X Esteban Martin Guarantor 12/31/2021

Authorized Signature (Borrower / Guarantor) Print Name Title Date
Malvern Bank Loan Application
 Save As Print

Personal Information

Name(s): Alberta Sanders Phone: (202)789-4125

Address: 302 Main Street

City: Albert City State: Iowa Zip: 50510

ASSETS LIABILITIES
Cash in Checking Accounts (Itemize in Notes Payable to Banks and Others
Schedule A) $0 (Itemize in Schedule G) $ 10,000
Cash in Savings Accounts Unpaid Taxes
(Itemize in Schedule A) $0 (Describe in Schedule H) $ 10,000
Certificates of Deposit Loans Against Life Insurance
(Itemize in Schedule A) $0 (Describe in Schedule B) $ 0
Stocks/Bonds/Mutual Funds Credit Card Debt
(Itemize in Schedule C) $ 20,000 (Itemize in Schedule I) $ 20,000
Whole Life Insurance (Cash Surrender) Real Estate Mortgages
(Describe in Schedule B) $0 (Itemize in Schedule D) $ 20,000
Retirement Accounts Vehicle Loans
(Describe in Schedule A) $0 (Itemize in Schedule E) $ 30,000
Real Estate Student Loan Debt
(Itemize in Schedule D) $ 30,000 (Describe in Schedule J) $ 50,000
Vehicles Other Liabilities
(Itemize in Schedule E) $ 90,000 (Describe in Schedule K) $ 60,000
Other Personal Property/Assets Additional Adjustments
(Describe in Schedule F) $0 (Describe in Schedule L) $ 0
Additional Adjustments
(Describe in Schedule L) $ 10,000

Total Assets $ 150,000 Total Liabilities $ 200,000

Net Worth (Assets – Liabilities) $ 350,000

Reset

Annual Income

Salary $ 20,000 Real Estate Income $ 15,000

Bonuses & Commissions $ 5,000 Other Income $ 10,000

Dividends & Interest $ 4,000

Total Income $ 54,000

©2018 Malvern Bank Personal Financial Statement v2.0 Page | 1

 CONTINGENT LIABILITIES
As Endorser, Co-maker, or
Guarantor $ 5,000

On Leases or Contracts $ 6,000

Legal Claims $ 7,000

Federal/State Income Taxes $ 8,000

Other $ 4,000

Total $ 30,000

GENERAL
NO
Describe any pledged assets
you have.
NO
Describe any lawsuits you are
involved in.
NO
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: 12/31/2021 Date: 12/31/2021

©2018 Malvern Bank Personal Financial Statement Page | 2

 Schedule A: List of Accounts Back to top

Institution Type of Account Dollar Amount Maturity Date (if applicable)

Malvern Bank $ 10,000 12/31/2021

Citibank $ 15,000 12/31/2021

Schedule B: Life Insurance Back to top

Description Cash Surrender Value Loan Against Amount

Schedule C: List of Securities Back to top

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

Equity Shares Stock 100 $ 10,000

Preference Shares Stock 100 $ 10,000

Schedule D: List of Real Estate Back to top

Monthly
Type Location Estimated Market Value Current Mortgage Amount
Payment

Residential Estate Iowa $ 30,000 $ 20,000 $ 1,000

©2018 Malvern Bank Personal Financial Statement Page | 3

 Schedule E: List of Vehicles Back to top

Year Make Model Estimated Value Loan Amount

2017 Toyata CR-V526 $ 20,000 $ 10,000

2018 Chevrolet Suburban Corolla ZX45 $ 30,000 $ 10,000
2019 Corvette X1 ZUBAN $ 40,000 $ 10,000

Schedule F: Other Assets Back to top

Description Amount

Schedule G: List of Notes Due (non vehicle/mortgage) Back to top

Interest Monthly Due

Due To Amount Owed Rate Collateral
Payment Date

non payment of interest $ 10,000 5% $ 100 5/1/19

Supreme Appartments building

Schedule H: Unpaid Taxes Back to top

Description Amount

Unpaid taxes and bill

$ 10,000

©2018 Malvern Bank Personal Financial Statement Page | 4

 Schedule I: List of Credit Card Debt Back to top

Minimum Monthly
Credit Card Amount Owed Interest Rate
Payment

Malvern Bank $ 10,000 5% $ 100

Citibank $ 10,000 5% $ 100

Schedule J: Student Loan Debt Back to top

Description Amount

Student Loan Education Debt $ 50,000

Schedule K: Other Liabilities Back to top

Description Amount

Wages Owned $ 10,000

Accounts payable $ 50,000

Schedule L: Additional Adjustments (if you run out of room in any section) Back to top

Describe Assets Adjustments Describe Liabilities Adjustments

Adjustment Total $ 10,000 Adjustment Total

©2018 Malvern Bank Personal Financial Statement Page | 5