Loan Application – Premier Capital Network

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If you are applying for individual credit in your name and are relying on your own income or assets and not the income of assets of another person as the basis for repayment complete Owner Information (1) and omit Owner Information (2).If this is an application for joint credit with another person, complete Owner Information (1) and (2).

Business Information

Required For Recommended Loan Amount

Merchant/Owner Information

Partner Information

Is Your Business Seasonal?

Any Open Bankruptcies?

Any Judgements/Liens?

Owner Signature