Local Vision Investing
Financial Information for Loan Application
Write your responses in a separate text document and send it to LocalVisionInvesting @localspokane.com
Name of business: __________________Business Address ___________________________
Owner/co owner names: _______________________________________________________
A. Please provide us the following financial information:
1. Your most recent income taxes returns.
2. An Income Statement (showing revenues and expenses) and Balance Sheet (Assets and Liabilities) for last year, and revenue and expense projections for the current or upcoming season. As an alternative, you may complete the Personal Financial Sheet from the Small Business Administration.
3. Current Credit Report. You may access a free one here.
4. Evidence that your business is growing or has the potential to grow, or is on a path towards profitability.
5. Evidence that there is enough cash flow to pay back the loan.
6. Do you have property and liability insurance?
If you don’t have some of this financial information, please let us know and we can assist you.
B. Your credit history:
1. Please list the amount and terms of all current loans, the dates the loans will be paid off, and total monthly payments. Please include personal debt.
2. Please give us the names and phone numbers of 3 credit references.
3. Please give us two trade references, and their phone numbers.
C. Have you or your business partners ever:
1. Been convicted of a felony involving fraud, embezzlement or another financial crime? [ ] Yes [ ] No
2. Filed for bankruptcy? [ ] Yes [ ] No
3. Had any of your business property foreclosed upon? [ ] Yes [ ] No
4. Are any lawsuits or administrative proceedings now pending or threatened against you or your business? [ ] Yes [ ] No
If any of the questions in C have been answered “Yes”, please provide details.
D. Permission and Signature
Please sign the statement below to give us permission to contact your creditors:
1. I hereby give permission to circulate my business plan and/or investing opportunity documents among LVI members.
2. I acknowledge that the confidentiality of submitted documents is not guaranteed, even if requested; and
3. I hereby release LVI members from liability to the fullest extent of the law.
In connection with my loan application to the Local Vision Investing, LLC, I hereby authorize the Local Vision Investing, LLC to verify and collect credit information including, but not limited to, bank references and trade and credit references.
Signature: ___________________________________
Printed Name:________________________________
Name of Business: ______________________________
Date: ______________________
revised on 9/25/13