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Easy Access Line of Credit

Easy Access Line of Credit Application


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Type of Credit applied for:
Annual Gross Sales [$]:
Number of Employees:
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Type of Business:
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Amount Requested:
*
Email Address:


INFORMATION ABOUT YOUR BUSINESS

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Legal Name of Borrowing Entity:
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Street Address:
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City:
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State:
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Zip:
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Telephone Number:		()
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Business Tax ID #:
Description of Business:
(Product / Service provided)
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Year business established:
Years as current owner:
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Primary Business Contact Name:


OWNERS

Name Title Home Address Home Phone
Social Sec. # Annual Gross Personal Income Monthly Housing Payment Percent of Ownership


BUSINESS BANK REFERENCES

Bank Name Type of Account Average Balance


CURRENT BUSINESS DEBT INFORMATION

Monthly Payment:
Balance left on loan / lease:
Monthly Payment:
Balance left on loan / lease:


COLLATERAL AVAILABLE

Description
(if real estate, please list the address & county of property)		 Value Value Basis


The applicant(s), by submitting this application, jointly, severally, as officers and individually certify that (i) they understand that this Application is subject to credit approval by West Suburban Bank (hereafter known as WSB) (ii) all information furnished to WSB herein and to be furnished in connection with this Application as well as all future information is and will be true, accurate and complete and fairly presents the financial condition of Company and the signer(s); (iii) they agree that any loan would be used for business purposes only, and not for household goods, personal, family or consumer purposes. The Company and the signer(s) authorize WSB: (i) to rely upon and verify said credit and business information, (ii) to obtain consumer and/or commercial credit reports on the signer(s) and the Company; and (iii) to provide credit information about WSB's credit experience with the signer(s) and with the Company to other creditors and to credit reporting agencies, from time to time.

Each person signing below certifies that: one or more signer(s) is signing on behalf of the Company in the capacity indicated next to the signer(s) name(s) and that such signer(s) is/are authorized to execute this Application on behalf of the Company and to bind the Company to the terms of the agreements set forth in this Application; and the signer(s) below is a sole proprietor or, for Company Application, includes all persons owning 20% or more of the stock, general partnership interests, or membership interests in the Company.

I / We hereby authorize West Suburban Bank to obtain payoff letters from other financial institutions.

Comments or Extra Information:


*
- Denotes Required Field

Press or Print this Application and Mail to:

Easy Access LOC Application
717 S. Meyers Road
Lombard, IL 60148

When we follow up on your application, please help us expedite your loan request by providing the following information:
  • Last three year-end business financial statements
  • Most recent year's business tax returns
  • Current interim business financial statement (if your past year end or tax return is more than 6 months old)
  • Complete copy of personal tax returns of any person owning 20% or more of the company
  • WSB personal financial statement for any principal owning 20% or more of the company





West Suburban Bank, Member FDIC, Equal Housing Lender.Equal Housing Lender
Serving DuPage, Kane, Kendall and Will Counties, Illinois.