Loan Application Checklist Entity Specific Documentation Valid Government Photo ID for all borrowers, applicants, and guarantors Last 3 years of personal federal taxes of all owners (including all supporting schedules) Last 3 years of business taxes (including all supporting schedules), if applicable Agreement of Sale, if applicable Personal financial statement for all owners (Quaint Oak Bank form provided) Completed Rent Roll Signed Authorization Form For Construction loans, provide detailed break down of renovations and estimated costs Business Tax Identification number Entity Specific Documentation (See Attached) Current Bank Statements for All Business and Personal Accounts All Entities Fictitious Name Registration Applicable Federal Tax Return (including K-1) EIN Number Limited Liability Corporation Operating Agreement Certificate of Organization S Corporation and C Corporation (Inc.) Partnership Non-Profit Bylaws Articles of Incorporation Partnership Agreement Limited Liability Registration Certificate of Authority Bylaws If not a Pennsylvania Entity Certificate of Good Standing from the state of origin Certificate of authorization to do business in the Commonwealth of Pennsylvania
PERSONAL FINANCIAL STATEMENT This personal financial statement is designed for those seeking commercial loans, either as a direct loan or as a guarantor. Only disclose alimony or child support income if you are relying on them as a basis for repayment of the credit requested. If you are applying for this credit solely in your own name, Quaint Oak Bank will disregard the joint assets, but will consider all your debt and liabilities in its underwriting process. If this is an application for joint credit, Applicant and Co-Applicant each agree that we intend to apply for joint credit (sign below): Applicant Co-Applicant Applicant (type or print) Name Co-Applicant (type or print) Name Address Address City, State, Zip City, State, Zip Email Address Email Address of Birth Social Security Number Home Phone of Birth Social Security Number Home Phone Employer Position/Occupation Business Phone Employer Position/Occupation Business Phone Business Address Business Address City, State, Zip City, State, Zip Length at present address Length of employment Length at present address Length of employment Marital Status Marital Status (Co-Applicant) Married Separated Married Separated Unmarried (includes Single, Divorced, or Widowed) Unmarried (includes Single, Divorced, or Widowed) Dependents Dependents (Co-Applicant) Number (include self) Number (include self) Mobile Number Mobile Number Page1
ANNUAL INCOME FOR YEAR ENDED 12/31/ Annual Income Salary, bonuses & commission Applicant Co-Applicant Total Annual Expenditures Applicant Co-Applicant Total Mortgage/Rental Payments $ Dividends & Interest Real Estate Taxes & Assessment Rental Income Taxes-Federal, State, & Local Other Income Insurance Payments Alimony, Child Support *Income from alimony, child support, or maintenance payments need not be entered unless you want it considered as a base for payment. Other Contract payments TOTAL INCOME TOTAL EXPENDITURES If additional space is needed, please use separate sheet STATEMENT OF FINANCIAL CONDITION AS OF / / Assets Cash & Money on Deposit Applicant Co-Applicant Total Liabilities Applicant Co-Applicant Total Notes Payable Market Balance Stocks/Bonds Margin Accounts Accounts & Notes Receivable Cash Value Life Insurance Pension Funds Unpaid Taxes Real Estate Owned (Personal) Real Estate Owned (Business) Life Insurance Loans Real Estate Mtg. (Personal) Vehicles Owned Car Loans Other Personal Property Other Debts Other Assets Total Liabilities Net Worth Total Liabiities and Net Worth Page2
Schedule A Name of Depository CASH-CHECKING/NOW ACCOUNTS-SAVINGS ACCOUNTS-CD'S Schedule of Cash Accounts Type of Acct Account Number In Name of Approximate Balance Pledged Yes Pledged No TOTAL: $ SCHEDULE OF STOCKS AND BONDS Schedule B Number Description Exchange Traded On In Name Of Market Value Pledged Yes Pledged No TOTAL: $ Schedule C SCHEDULE OF ACCOUNTS AND NOTES RECEIVABLE Description Owed by Due date Amount Due G=Good D=Doubtful TOTAL: $ Page3
Schedule D SCHEDULE OF LIFE INSURANCE CARRIED Name of Insurance Company Type Benefit Value Beneficiary Cash Value Schedule E VESTED INTEREST IN DEFERRED COMPENSATION OR PENSION PLANS Name of Company Amount Available Payout Basis Beneficiary TOTAL:$ Schedule F Address % Owned REAL ESTATE OWNED (PERSONAL) Present Original Purchase Present Market Mortgage Puchase Price Value Balance Mortgage Payment Lender Current Interest Rate TOTAL:$ Schedule G PERSONAL SCHEDULE OF REAL ESTATE OWNED (See Attached) Schedule H Owed to SCHEDULE OF NOTES-PAYABLE (INSTAL LOANS, PERS LOANS, CREDIT CARDS) Type Opened Amount Owed Monthly Payment Secured (Y or N) TOTAL: $ Page4
ADDITIONAL INFORMATION AND EXPLANATIONS Accountant Name And Phone Number Lawyer Name And Phone Number Insurance Broker And Name And Phone Number Tax returns filed through (): Have either of you or any firm in which you were a major owner ever declared bankruptcy in the past 7 years or settled any debt for less than the amounts owed? If yes, please provide details on a separate sheet. APPLICANT CO-APPLICANT Are (either of) you a defendant in any suit or legal action? Are (either of) you presently subject to any unsatisfied judgments to tax lien? Do you have any Contingent liabilities (as endorser, co-maker, or guarantor)? (On leases? On contracts?) Contested income tax liens? Other special debt or circumstances? This financial statement, and any schedule, explanations or additional information attached is submitted to the lender on behalf of the undersigned for the purpose of procuring, establishing and maintaining credit to the undersigned or to others upon the guarantee of the undersigned. The undersigned has carefully read the information contained herein and warrants it to be complete, true and correct as of the following date and that the Lender may continue to rely upon this statement as continuing to be true and correct until a written notice of change is given to Lender by the undersigned. If any of the information contained herein proves to be materially incorrect or inaccurate,the Lender may declare the debt obtained by me (us) or by whom I (we) guaranteed to be immediately due and payable. Further, the undersigned agrees that this statement shall remain the property of the Lender whether or not credit is extended. The Lender is authorized to make any inquiries deemed necessary to verify the accuracy of the information herein including, but not limited to: procuring consumer reports from consumer reporting agencies, obtaining credit information from other financial institutions and extenders of credit, present and past employers, and references. Further, the lender is authorized to respond to questions about your credit experience with the undersigned. Applicant Printed Name Co-Applicant Printed Name Applicant Signature Co- Applicant Signature We may order an appraisal to determine the property's value and charge you for this appraisal. We will promptly provide you a copy of any appraisal, even if your loan does not close. You can pay for an additional appraisal for your own use at your own cost. Page5
Personal Schedule of Real Estate Owned Schedule G Property Address Property Type Number of Units Occupied or Vacant Current Market Value Mortgage Balance Creditor or Mortgage Company Monthly Mortgage Payments ( P & I) Escrowed Taxes Y/N Monthly Tax Amount Escrowed Insurance Y/N Monthly Insurance Amount Rental Income Applicant's Signature Co-Applicant Signature Print Name Print Name
Signature Authorization Privacy Act Notice: This information is to be used by the agency collecting it or its assignees in determining whether you qualify as a prospective mortgagor under its program. It will not be disclosed outside the agency except as required and permitted by law. You do not have to provide this information, but if you do not your application for approval as a prospective mortgagor or Applicant may be delayed or rejected. The information requested in this form is authorized by Title 38, USC, Chapter 37 (if VA); by 12 USC, Section 1701 et.seq. (if HUD/FHA);by 42 USC, Section 1452b (if HUD/CPD); and Title 42 USC, 1471 et.seq., or 7 USC, 1921 et.seq. (if USDA/FmHA). Authorization I hereby authorize Quaint Oak Bank and its affiliates (Quaint Oak Mortgage LLC., Quaint Oak Abstract LLC.) to verify my past and present employment earnings records, bank accounts, stock holdings, and any other asset balances that are needed to process my loan application. I further authorize Quaint Oak Bank to order a consumer credit report and verify other credit information, including payoff balances from third parties, and past and present mortgage and landlord references. It is understood that a copy of this form will also serve as authorization. The information Quaint Oak Bank obtains is only to be used in the processing of my application for a loan. Applicant Signature Print Name Co-Applicant Signature Print Name