Business Loans

Business Information

* Required Fields

Business Legal Name

Other Trade or Doing Business As name

Type of Business (Please Select) Sole Proprietorship Corporation Limited Liability Company General Partnership Limited Liability Partnership Limited Partnership

Amount of Loan Requested

Number of Employees

Business Information

Business Address

City

State

Zip

Business Phone Number

Tax ID/EIN Number

Gross Annual Sales

Net Income

Total Business Checking Account Balance

State of Registration

Date Business Established

NAICIS Code

If mailing address is different from business address:

Mailing Address

Mailing City

Mailing State

Mailing Zip

Business Owner Information

Owner First Name

Owner Last Name

Owner Date of Birth (mm/dd/yyyy)

Marital Status (Please Select) Married Unmarried Separated

Owners Home Phone

Owners Email

Best time to contact you? (Please Select) Morning Evening Afternoon

Are you a current Customer with us? (Please Select) Yes No

If no, how did you hear of/about us? (Please Select) Internet/Web Newspaper Friend/Relative Yellow Pages Radio Other

If Other, please explain

Owner Current Home Address

Home Address

City

State

Zip

Time at Residence

Years at Residence

Months at Residence

If you have lived at your current address less than 2 years, please provide the following:

Previous Home Address

Previous City

Previous State

Previous Zip

Do you currently own or rent your home? (Please Select) Own Rent

Monthly Mortgage/Rent

Employment Information

Current Employer Name

Work Phone

Job Title

Annual Net Income

Length of Employment

Years of Employment

Months of Employment

Other Information

Have you ever filed for Bankruptcy? (Please Select) Yes No

If yes, what is the year of discharge?

Additional Comments

Please review and verify that the above information is correct.

You may change any of the fields above BEFORE clicking the submit button at the bottom of the page.

All the information I have provided in this application is true and complete. I authorize Community First Bank to check my credit and employment history. I authorize Community First Bank to contact me regarding my application. I understand that by filling out this form, I am not guaranteed financing with Community First Bank. I understand Community First Bank may retain the information contained in this application whether or not I am qualified for a loan.

When you have completed the form above, you may print this application and mail / bring the printed copy to our office, OR Submit the application via the Internet.

By clicking on the button marked "Submit", I have agreed to the above terms and conditions.