SBA Working Capital Loan Overview

Business/Personal History If any answer is yes, please explain below.

Has the Borrower or any 20% or more owner been discharged from a bankruptcy in the last 10 years?(Required)

Yes

Has the Borrower or any 20% or more owner ever filed for or been discharged of 2 or more bankruptcies?(Required)

Yes

Does the Borrower or any 20% or more owner have any unpaid collections, foreclosures, repossessions, judgements or charge-offs?(Required)

Yes

Does the Borrower or any 20% or more owner have any unpaid taxes, tax payment plans or tax liens (includes state and federal income taxes and 941 payroll taxes)(Required)

Yes

Has any 20% or more owner ever been convicted of a misdemeanor or higher?(Required)

Yes

Have you ever applied for a loan with Colony Bank?(Required)

Yes

Personal Payment History for all 20% or more owners (Ex: Mortgage, Credit Cards, Auto Loan, Etc.)

Has there been more than one 30-day late payment(s) within the last 12 months?(Required)

Yes

Has there been any 30-day or greater late payment(s) with the last month?(Required)

Yes

Has there been any 60-day or greater late payment(s) with the last 24 months?(Required)

Yes

Explanation

Affiliation Breakout: Please list any business in which a guarantor has ownership. If there are additional entities, add an attachment.

Do you have an ownership position in any other business?(Required)

Yes

Business 2 Legal Name(Required)

Business 2 Address(Required)

Street Address Address Line 2 City State ZIP Code

Business 2 EIN Number(Required)

Business 2 Annual Revenue for Past 3 Years(Required)

Business 2 NAICS Code(Required)

Business 2 Industry Description(Required)

Business 2 Number of Employees(Required)

Your Title at Business 2(Required)

Your Percent of Ownership of Business 2(Required)

Business 2 Owner 2 Name

Business 2 Owner 2 Title

Business 2 Owner 2 Percent of Ownership

Business 2 Owner 3 Name

Business 2 Title Owner 3 Name

Business 2 Owner 3 Percent of Ownership

Do you have an ownership position in a third business?(Required)

Yes

Business 3 Legal Name(Required)

Business 3 Address(Required)

Street Address Address Line 2 City State ZIP Code

Business 3 EIN Number(Required)

Business 3 Annual Revenue for Past 3 Years(Required)

Business 3 NAICS Code(Required)

Business 3 Industry Description(Required)

Business 3 Number of Employees(Required)

Your Title at Business 3(Required)

Your Percent of Ownership of Business 3(Required)

Business 3 Owner 2 Name

Business 3 Owner 2 Title

Business 3 Owner 2 Percent of Ownership

Business 3 Owner 3 Name

Business 3 Title Owner 3 Name

Business 3 Owner 3 Percent of Ownership

Working Capital Use Review: The SBA requires requests to be broken down into a detailed explanation. Please fill out the below chart as it pertains to your loan request. If certain expenses are currently being paid for by the business (for instance insurance, utilities, rent, etc.), then please explain why working capital is needed to pay for these expenses.

Marketing & Advertising Dollar Amount

Marketing & Advertising To Be Done

Examples: Website Design, Local Advertising, Target Marketing/ Social Media Ads, Signage/ Billboards. Etc.

Supplies & Materials Dollar Amount

Supplies & Materials To Be Purchased

Examples: Computers, Phones, Office Supplies, Materials needed to operate, Software Systems, Etc.

Start-up Expenses / Fees Dollar Amount

Start-up Expenses / Fees To Be Paid

Examples: Entity Formation Document Expenses, Franchise Fees, Lease Deposits, Travel for Franchise Training, Etc.

Insurance Expenses Dollar Amount

Insurance Expenses To Be Paid

Examples: Workers Compensation, Owners Life Insurance, Business Personal Property Hazard Insurance, Flood Insurance, Liability Insurance, etc.

Payroll Dollar Amount

Payroll Expenses To Be Paid

Examples: Hiring employees, including but not limited to, commissions, payroll, and cost of hiring (background checks, training, uniforms, etc.). Be sure to indicate how many employees you are hiring, the titles of their positions, the rates the employees are paid, and how many months the requested funds will cover each position.

Cosmetic Renovations Dollar Amount

Cosmetic Renovations To Be Done

Examples: Any renovations that do not require a permit to be pulled, such as painting and carpet installation. Please describe in detail and provide any bids you have received.

Professional Fees Dollar Amount

Professional Services To Be Done

Examples: Accounting or Attorney Fees detail and provide any bids you have received.

Business First Consulting, Inc.

Empowering Business Growth: Commercial Real Estate Loans and Business Growth Consulting

SBA Working Capital Loan Overview