All-In-One Business Loan Application

All-In-One Business Loan Application T NORTHERN FIRST B NORTHERN BANK

FIRST NORTHERN BANK FIRST NORTHERN BANK All-in-One Commercial Loans - less paperwork and quicker solutions. The world isn t slowing down. You know it and First Northern Bank knows it. If you want your business to keep up, you need answers quickly. First Northern Bank understands that. That s why we have responded with our All-in-One Commercial Loan. Now you can apply for a business loan or line of credit up to 250,000 and get your answer in as soon as 24 hours. It s easy, and it s fast. The Simplicity of applying for 50,000 or Less Complete this All-in-One Commercial Loan application package Drop off the application at one of our convenient branch locations See checklist for details Applying for 50,001 to 250,000 Provide two years of financial information (see checklist for details) Complete this All-in-One Commercial Loan application package Drop off the application at one of our convenient branch locations Business Checking Plus Amount Minimum: 2,500 Maximum: 10,000 Rate Base Rate* + 8% up to 4,999 Base Rate* + 6% up to 10,000 Term Revolving Fees Use of Funds 100 Set-up - Working Capital - Finance Receivables and Inventory - Business Expansion - Purchase Equipment - Overdraft Protection Express Line of Credit Amount Minimum: 10,000 Maximum: 50,000 Rate Variable, based on Commercial Base Rate* Term Revolving Fees Use of Funds *First Northern Bank s Commercial Base Rate. 100 Annual Fee - Working Capital - Finance Receivables and Inventory - Business Expansion - Purchase Equipment Revolving Business Line of Credit Amount Minimum: 50,001 Maximum: 250,000 Rate Variable, based on Commercial Base Rate* Maximum Term Line of Credit - 3 years Fees Use of Funds Line of Credit 200.00 Annual Fee - Working Capital - Finance Receivables and Inventory Term Loan Amount Minimum: 10,000 Maximum: 250,000 Rate Variable, based on Commercial Base Rate* Maximum Term Up to 60 Months Fees ½% Origination Fee (Minimum Loan Fee is 200) Use of Funds - Business Expansion - Purchase Equipment Non-Revolving Line to Term Loan Amount Minimum: 50,000 Maximum: 250,000 Rate Variable, based on Commercial Base Rate* Term Interest only for 12 months, term up to 60 months Fees Use of Funds ½% Origination Fee - Business Expansion - Purchase Equipment FNB.All-In-One Checklist.1.1012

FIRST NORTHERN BANK Your Checklist for All-In-One Commercial Loans Dear Borrower, Thank you for selecting First Northern Bank for your commercial loan. In order to accurately and efficiently determine your eligibility, we ask that you complete in ink the attached All-In- One Commercial Loan Application together with other forms and documentation: Business Checking Plus Completed All-in-One Commercial Loan application package Express Line of Credit or Term Loan less than 50,000 Completed All-in-One Commercial Loan application package Revolving Line of Credit or Term Loan 50,000 and over Completed All-in-One Commercial Loan application package Two years Federal Tax Returns including all schedules (personal and business) Current interim and two FYE business financial statements Current personal financial statement Account Receivables and Account Payables to match current interim business financial statements Please Note: If any Borrower or Guarantor has a Trust, the complete Trust document must be provided for any loan request. Sole Proprietorship please provide the following: Fictitious Name Statement Partnership please provide the following: Partnership Agreement Corporation/LLC please provide the following: Articles of Incorporation or LLC Agreement Equipment Secured Loans please provide the following: Purchase Invoice or current appraisal Complete description of collateral with I.D. numbers Other: Your cooperation will help us to expedite the processing of your application. Should you have any questions, please call your loan officer. We look forward to assisting you with your loan request. Thank You! Loan Officer s Name Loan Officer s Phone Number FNB.All-In-One Checklist.2.1012

Loan Officer Branch # Rec d at CSD FIRST NORTHERN BANK BANK USE Br. Rec d Date Complete App # All-In-One Business Credit Application Check all that apply: Business Checking Plus (2,500-10,000) Express Line of Credit (10,001-50,000) Business Line of Credit (50,001-250,000) Non-Revolving Line to Term (50,001-250,000) Term Loan (10,001-250,000) Amount Requested Line of Credit Loan Purpose Collateral Value Existing Liens Renewal A/R Auto-debit? Yes No New Revolving Line Inventory FNB Account # Increase Existing Line # Equipment Real Estate Amount Requested Term Loan Purpose Collateral Value Existing Liens 12 Months 48 Months A/R Auto-debit? Yes No 24 Months 60 Months Inventory FNB Account # 36 Months Equipment Real Estate BUSINESS INFORMATION Legal Name (under which tax returns are filed) Company (or DBA name) Street Address Mailing Address (if different) Street City, State, Zip City, State, Zip Business Phone Number ( ) Business Fax Number ( ) Federal Tax ID Number No. of Owners Date Business Established MM DD YY Under Current Ownership Since MM YY Annual Sales/Revenues (last FULL year) Describe Your Product/Service Annual Net Profit Type of Ownership (Please provide supporting documentation, such as Articles of Incorporation, Partnership Agreement, etc.) Business Type (check one) Sole Proprietorship General Partnership Limited Partnership Corporation S Corporation Limited Liability Co. Other Industry Type (check one) Contractor Media High-tec Manufacturer Agriculture Retail/Wholesale Real Estate Financial Service Business Service Health Care Consumer Service Hotel/Motel Other Business BUSINESS DEPOSIT ACCOUNTS Financial Institution Type of Account (Checking, Savings, Investment, etc) Account Number Average Balance Move to FNB? Yes No Yes No Yes No CURRENT BUSINESS DEBT Type of Debt Creditor (Loan, LOC, Lease) Original Balance Current Balance Monthly Payment Principal & Interest or Interest Only Maturity Date MM/DD/YY Total Owing FNB.All-In-One Business Credit Application.1012

OTHER BUSINESS INFORMATION If yes to any of these questions, explain: Is the business currently involved in any litigation or other legal claims? Yes No Has the business or any principal ever declared bankruptcy? Yes No Are there any delinquent taxes owed by the business or any principal? Yes No Is the company liable on any debts not shown below? Yes No Is the company or any principal contingently liable as guarantor or endorser? Yes No Has the business incurred a loss in any of the last 3 years? Yes No Is the business for sale or under agreement that would change ownership? Yes No PERSONAL INFORMATION (ALL 20% OR MORE OWNERS TO COMPLETE. IF MORE THAN TWO, PLEASE USE SEPARATE APPLICATION AND ATTACH.) 1.) Owner Name (please print) % Ownership Company Title Social Security Number Home Address Driver s License Number Home Phone Number Total Revolving Credit Mortgage/Rent Payment Monthly Salary Other Income Describe: Payments (monthly) (monthly) (monthly) ( ) Financial Institution Name Type of Account (Checking, Savings, etc.) Account Number Average Balance Brokerage Firm Name Type of Account Margin Account Current Balance Yes No Yes No Have you transferred any assets into a trust? Yes No If yes, Name of Trust 2.) Owner Name (please print) % Ownership Company Title Social Security Number Home Address Driver s License Number Home Phone Number Total Revolving Credit Mortgage/Rent Payment Monthly Salary Other Income Describe: Payments (monthly) (monthly) (monthly) ( ) Financial Institution Name Type of Account (Checking, Savings, etc.) Account Number Average Balance Brokerage Firm Name Type of Account Margin Account Current Balance Yes No Yes No Have you transferred any assets into a trust? Yes No If yes, Name of Trust CREDIT AUTHORIZATION AND VERIFICATION Each person or entity signing this application certifies that all information provided is true and complete and authorizes First Northern Bank to: 1) obtain credit and employment information about each person or entity; 2) obtain credit reports and make inquiries First Northern Bank considers appropriate in connection with this application or review of this loan account from time to time; 3) make First Northern Bank s experience with this loan account and information about this application available to credit bureaus, and account information as required by law. Each person or entity acknowledges that additional information may be required in order to make a final credit decision. Business Name Authorized Signature Date Title Print Name Title Authorized Signature Date Print Name Title Authorized Signature Date

FIRST NORTHERN BANK Master Certification of Financial Information NOTE: THIS DOCUMENT CONTAINS REPRESENTATIONS WHICH ARE AN IMPORTANT PART OF YOUR AGREEMENT WITH FIRST NORTHERN BANK OF DIXON AND MUST BE CAREFULLY READ AND UNDERSTOOD PRIOR TO SIGNING. CERTIFICATION WITH RESPECT TO FINANCIAL INFORMATION SUBMITTED TO FIRST NORTHERN BANK OF DIXON To: First Northern Bank of Dixon Date: It is hereby acknowledged that the undersigned has furnished, and will in the future furnish, to First Northern Bank of Dixon (the Bank ) certain financial data including, but not limited to, financial statements and copies of state and federal income tax returns for purposes of obtaining loans or extensions of credit from the Bank. The undersigned hereby certifies to the Bank that any financial statements which have been given to the Bank, or will be given in the future, are true and correct as of the dates they bear and that the federal and state income tax returns are true and accurate copies of the returns actually filed on behalf of the undersigned. The undersigned hereby agrees to notify the Bank immediately of the extent and character of any material change in said financial condition as set forth in such financial statements or tax returns, or if any of the representations made in any financial statement or tax return prove to be untrue. I certify and affirm to the Bank my understanding and knowledge that the Bank is relying upon the truth and accuracy of the certification and each of the financial statements, financial documents and tax returns to which it relates. I further acknowledge and agree that such reliance is a material inducement to the bank to enter into financial accommodations and relationships with the undersigned. I declare under penalty of perjury of the laws of the State of California that the foregoing is true and correct. (Name of Borrower/Guarantor) BY: (Print Name) FNB.MasterCertification.0705

FIRST NORTHERN BANK Personal Financial Statement STATEMENT OF FINANCIAL CONDITION AS OF, Name Address City State Zip Social Security Number Home Phone Present Employer Date of Birth Work Phone Position Address of Employer City State Zip Marital Status (answer only if this financial statement is provided in connection with a request for secured credit or if you live in a community property state, such as California): Married Separated Unmarried (unmarried includes single, divorced, widowed) YOU MAY APPLY FOR CREDIT EXTENSION OR FINANCIAL ACCOMMODATION SEPARATELY OR JOINTLY. Are you requesting this financial accommodation: Separately? Jointly with your spouse? Jointly with another person. (Please submit separate financial statements attached together) Reflect in this statement the financial condition of your spouse as well as your own financial condition if: 1. You are seeking this financial accommodation jointly with your spouse, or 2. You are relying on your spouse s assets or income in requesting this financial accommodation, or 3. You live in a community property state like California. FNB.PFS.0705

List all amounts in dollars. Omit cents. Please attach a separate sheet if you need more space to complete a detail schedule. ASSETS AMOUNT LIABILITIES AMOUNT Cash in First Northern Bank Cash in Other Banks (Detail) Accounts Payable Notes Payable to First Northern Bank Notes Payable to Others (Schedule 7) Accounts Receivable Income Taxes Payable Notes Receivable (Schedule 1) Other Taxes Payable Mortgages & Deeds of Trust Owned (Schedule 2) Securities Owned (Schedule 3) Cash Surrender Value of Life Insurance (Schedule 4) Loans of Life Insurance (Schedule 4) Real Estate (Schedule 5) Mortgages or Liens on Real Estate (Schedule 6) Automobiles Installment Contracts Payable Personal Property Other Assets (Detail) Other Liabilities (Detail) TOTAL LIABILITIES NET WORTH TOTAL TOTAL ANNUAL INCOME ANNUAL EXPENDITURES CONTINGENT LIABILITIES Employment Income Property Taxes/Assessments As Endorser Income and Other Taxes As Guarantor Dividends Mortgage Payments & Interest On Damage Claims Interest Other Contract Payments For Taxes Rentals Insurance Other (Detail) Living Expense Alimony, child support or separate maintenance (you need not show this income unless you wish us to consider it). Alimony, child support/maintenance Other Other Check here if None TOTAL INCOME TOTAL EXPENDITURES TOTAL CONTINGENT LIABILITIES SCHEDULE 1 Notes Receivable Name of Debtor Collateral Payable Maturity Date Total Amount Due per per per TOTAL SCHEDULE 2 Mortgage and Deeds of Trust Owned Name of Debtor Type of Property 1st or 2nd Lien Value of Property How Payable Unpaid Balance per per per per Personal Financial Statement page 2 of 5

SCHEDULE 3 Securities Owned No. Shares or Bond Amount Description Title in Name of How Held Code* Amount at Which Carried on this Statement Present Market Value L=Listed U=Unlisted TOTAL SCHEDULE 4 Life Insurance Insured Face Amount of Policy Insurance Company Beneficiary Cash Value Loans SCHEDULE 5 Real Estate TOTAL Address and Type of Property Title in Name of How Held Code* Monthly Income Cost Year Acquired Present Market Value Total Balance Owed (Detail in Schedule 6) Year Year Year Year If more detail needed, see next page. TOTAL SCHEDULE 6 Mortgages or Liens on Real Estate To Whom Payable Indicate 1st or 2nd Mortgage How Payable Interest Rate Maturity Date Balance Owing per per per per per SCHEDULE 7 Notes Payable To Whom Address Collateral Interest Rate Unpaid Balance * HOW HELD CODES COMMUNITY PROPERTY SEPARATE PROPERTY (indicate applicable abbreviation) ALWAYS INDICATE CP SO SINGLE OWNERSHIP JT JOINT TENANTS TIC TENANTS IN COMMON Personal Financial Statement page 3 of 5

As of: SCHEDULE OF REAL ESTATE HOLDINGS Borrowers Name: (List Market Value, Mortgages, and Gross Rents at Full Value.) Property Address Date Acquired Purchase Price % Owned Property Held in Name of Current Market Value Lender s Name Current Balance 1st Mortgage 2nd Mortgage TOTALS Personal Financial Statement page 4 of 5 Monthly Payment 1st Mortgage 2nd Mortgage Monthly Gross Rents

Have you ever gone through bankruptcy or had a judgement against you? Are any assets pledged or debts secured except as shown? Have you made a will? Have you transferred assets into a Trust? Yes No Yes No Yes No Yes No Trust Name: YOUR REPRESENTATIONS AND WARRANTIES I understand that First Northern Bank is relying on the information in this financial statement (including the designation of my property as separate or community property) in deciding to give or continue the financial accommodation or extension of credit I have requested or received. I promise that this is a true statement of my financial condition as of the date of valuations. You may rely on it as being true and correct until I otherwise notify you in writing. If any adverse change occurs in my financial condition, or if I should file for bankruptcy or any other creditor tries to seize my property, at your election any or all of my indebtedness and obligations to you, direct or contingent, shall become due and payable immediately without demand or notice. You may retain and verify this statement. I understand that from time to time you may receive information about me from others and may answer questions and requests from others seeking credit and experience information about me and my relationships with you. If this is a joint financial statement, these representations and warranties are from each of us. I HAVE READ, UNDERSTAND AND AGREE TO MAKE THESE REPRESENTATIONS AND WARRANTIES. Date Your Signature Date Your Spouse s Signature (if you are requesting the financial accommodation jointly with your spouse) Personal Financial Statement page 5 of 5

FIRST NORTHERN BANK Insurance Verification Adequate insurance coverage is required on the property that will secure this loan request. The insurance policy must contain a Loss Payable Clause Endorsement naming First Northern Bank, its successors and/or assignees. Please provide the following information so that your insurance agent may be contacted. Your loan will not be funded unless a Certificate of Insurance is issued to First Northern Bank. Insurance Co. Agent s Phone Agent s Name Agent s Fax Agent s Address Policy Number Insurance Co. Agent s Phone Agent s Name Agent s Fax Agent s Address Policy Number Signed By Date Signed Signed By Date Signed FNB.InsuranceVerification.0705

FIRST NORTHERN BANK Right to Request Written Adverse Action Notice If your application for business credit is denied, you have the right to a written statement of specific reasons for the denial. To obtain the statement, please write to the First Northern Bank branch to which you submitted your application within 60 days from the date you are notified of First Northern Bank s decision. First Northern Bank will provide you a written statement of reason(s) for the denial within 30 days of receiving the request for the statement. NOTICE: The federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract), because all or part of the applicant s income comes from any public assistance program, or because the applicant has exercised in good faith any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this institution is: Federal Deposit Insurance Corporation 2345 Grand Boulevard, Suite 100 Kansas City, MO 64108 FNB.AdverseActionNotice.0705 FIRST NORTHERN BANK Customer Identification Notice (U.S.A. Patriot Act) 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 for your name, 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. FNB.CustomerIDNotice.0705

Rev. October 2010 FACTS What Does First Northern Bank Do With Your Personal Information? WHY? WHAT? HOW? Financial institutions choose how they share your personal information. Federal law gives consumers the right to limit some but not all sharing. Federal law also requires us to tell you how we collect, share, and protect your personal information. Please read this notice carefully to understand what we do. The types of personal information we collect and share depend on the product or service you have with us. This information can include: Social Security number and income account balances and payment history credit history and credit scores When you are no longer our customer, we continue to share your information as described in this notice. All financial institutions need to share customers personal information to run their everyday business. In the section below, we list the reasons financial institutions can share their customers personal information; the reasons we choose to share; and whether you can limit this sharing. Reasons we can share your personal information Do we share? Can you limit this sharing? For our everyday business purposes such as to process your transactions, maintain your account(s), respond to court orders and legal investigations, or report to credit bureaus For our marketing purposes to offer our products and services to you For joint marketing with other financial companies For our affiliates everyday business purposes information about your transactions and experiences For our affiliates everyday business purposes information about your creditworthiness For our affiliates to market to you For nonaffiliates to market to you YES YES NO NO NO NO NO NO NO WE DON T SHARE WE DON T SHARE WE DON T SHARE WE DON T SHARE WE DON T SHARE Questions? If you would like additional information, or have questions regarding First Northern Bank s Privacy Policy, please call one of our branches or go to www.thatsmybank.com and send us an email.

Page 2 Who we are Who is providing this notice? First Northern Bank What we do How does First Northern Bank protect my personal information? To protect your personal information from unauthorized access and use, we use security measures that comply with federal law. These measures include computer safeguards and secured files and buildings. How does First Northern Bank collect my personal information? We collect your personal information, for example, when you open an account or deposit money pay your bills or apply for a loan use your credit or debit card We also collect your personal information from others, such as credit bureaus, affiliates, or other companies. Why can t I limit all sharing? Federal law gives you the right to limit only sharing for affiliates everyday business purposes information about your creditworthiness affiliates from using your information to market to you sharing for nonaffiliates to market to you State laws and individual companies may give you additional rights to limit sharing. Definitions Affiliates Companies related by common ownership or control. They can be financial and nonfinancial companies. First Northern Bank does not share with its affiliates. Nonaffiliates Companies not related by common ownership or control. They can be financial and nonfinancial companies. First Northern Bank does not share with nonaffiliates. Joint Marketing A formal agreement between nonaffiliated financial companies that together market financial products or services to you. First Northern Bank does not market jointly with nonaffiliates. Member FDIC www.thatsmybank.com

HOW ELSE CAN FIRST NORTHERN BANK ASSIST YOU AND YOUR BUSINESS? (Please check the appropriate services) Business and Personal Checking, Savings and Investment Accounts Free Checking Accounts Savings Accounts Money Market Investment Accounts Certificates of Deposit (CDs) IRAs Traditional and Roth Coverdell Education Savings Accounts SEP IRAs Health Savings Accounts Investment & Brokerage Services (not FDIC insured) Asset Management & Trust Services (not FDIC insured) Loan Services: Business Equipment Loans and Leasing, Operating and Finance Leases Operating Lines of Credit (including Asset-Based Lines) SBA Loans (7A & 504, Equipment and Real Estate) Agriculture Loans Operating Loans for Livestock and Crops Construction Loans Merchant Bankcard Services Solar Equipment Financing Loan Services: Consumer Automobile, Boat and RV Loans Personal Loans Overdraft Protection Credit Cards Home Equity Loans/Lines of Credit Home Improvement Loans Mortgage Loans FIRST NORTHERN BANK Other Services Free Online Banking & Bill Pay TELEBANK 24-Hour Telephone Banking Night Depository Draft Collection Notary Service 24-Hour MINIBANK ATM ATM & Check Cards Bank By Mail Postage Paid Direct Deposit Series EE Bonds Travelers Cheques Cashier s Checks International Drafts Safe Deposit Boxes Payroll Service Business Courier Service Online Cash Management Services for Business Wire Transfers Tax Payments Bill Payment Payroll Payments Account Reconciliation Deposit Capture Positive Pay Check Fraud Detection ACH Fraud Detection Service FNB.Business Products & Services.1012

Branch Locations Auburn Financial Center 390 Elm Avenue Auburn, CA 95603 530.885.5009 Davis Financial Center 434 Second Street Davis, CA 95616 530.758.7500 Dixon Financial Center 195 N. First Street Dixon, CA 95620 707.678.4422 Downtown Sacramento Financial Center 700 J Street Sacramento, CA 95814 916.447.9000 Fairfield Financial Center 1455 Oliver Road Fairfield, CA 94534 707.425.2900 Roseville Financial Center 2150 Douglas Blvd., Suite 260 Roseville, CA 95661 916.787.8510 www.thatsmybank.com Vacaville Regency Park Financial Center 605 Elmira Road Vacaville, CA 95687 707.447.1400 Vacaville Downtown Financial Center 555 Mason Street Vacaville, CA 95688 707.447.8600 West Sacramento Financial Center 1300 Harbor Boulevard West Sacramento, CA 95691 916.372.1023 Winters Financial Center 48 Main Street Winters, CA 95694 530.795.4501 Woodland Financial Center 11 W. Court Street Woodland, CA 95695 530.661.6000 All-In-One Business Loan Application Department Locations Davis Real Estate Loan Office 508 Second Street, Suite 104 Davis, CA 95616 530.753.1585 or 800.682.8648 Folsom Real Estate Loan Office 2360 E. Bidwell Street, Suite 100 Folsom, CA 95630 916.817.3910 or 800.550.4362 Roseville Real Estate Loan Office 2150 Douglas Blvd., Suite 260 Roseville, CA 95661 916.787.8500 or 866.547.5239 T NORTHERN Administration 195 N. First Street Dixon, CA 95620 707.678.3041 Asset Management & Trust Department* 1007 7th Street, Suite M100 Sacramento, CA 95814 916.325.0050 Investment & Brokerage Services* 2360 E. Bidwell, Suite 100 Folsom, CA 94534 800.869.2206 Small Business Lending 2150 Douglas Blvd., Suite 260 Roseville, CA 95661 916.567.6270 or 888.999.4SBA *Non-FDIC insured Toll free 24-hour touch-tone telephone banking: TeleBank 800.818.24HR Member FDIC Revision 12/2010