Caesar Capital

Loan Application

BUSINESS INFORMATION

Legal/Corporate Name:

DBA:

Physical Address:

City:

State:

Zip:

Telephone #:

Fax #:

Federal Tax ID:

Date Business Started:

Length of Ownership:

Website:

Type of Entity (check one):

Sole Proprietorship Partnership Corporation LLC Other

Email Address:

Type of Business (check all that apply):

Retail MO/TO Wholesale Restaurant Supermarket Other

Product/Service Sold:

Gross Annual Business Revenue:

Average Bank Balance:

Loan Amount Requested:

Desired Loan Term:

MERCHANT/OWNER INFORMATION

Corporate Officer/Owner Name:

Title:

Ownership %:

Home Address:

City:

State:

Zip:

SSN:

Date of Birth:

Home #:

Cell #:

PARTNER INFORMATION

Partner Name:

Title:

Ownership %:

Home Address:

City:

State:

Zip:

SSN:

Date of Birth:

Home #:

Cell #:

BUSINESS PROPERTY INFORMATION

Business Landlord or Mortgage Bank:

Contact Name and/or Account #:

Phone #:

Monthly Rent Amount:

AUTHORIZATION

Applicant authorizes Caesar Capital its assigns, agents, banks or financial institutions to obtain an investigative or consumer report from a credit bureau or a credit agency and to investigate the references given on any other statement or data obtained from applicant.

Applicant’s Signature:

Date:

Applicant’s Signature:

Date:

File Upload:

Caesar Capital

Loan Application

BUSINESS INFORMATION

MERCHANT/OWNER INFORMATION

PARTNER INFORMATION

BUSINESS PROPERTY INFORMATION

AUTHORIZATION

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