JACKSON-CLYBURN & ASSOCIATES
COMMERICAL LOAN
APPLY  ONLINE
In the interest of saving time, please gather and all relevant information (addresses, account numbers, balances) for your accounts, banks, real estate, annual financials and banking information, before completing this form.  Should you encounter any problems, please call us at (803) 581-3695. Please fill out the following form and press the SUBMITbutton: Minimum Loan amount is $150,000.00. and there is NO MAXIMUM loan amount.  Thank you.
We can will provide you with an analysis for financing within 3 business days.  An appraisal, title work, and other necessary verifcations, will be ordered at the appropriate time. 
NOTE: This form may be used for purchase, refinance and construction transactions. 
ALL APPLICATIONS ARE  HANDLED WITH CONFIDENTIAL PROCESSING.
LOAN  INFORMATION
Loan Amount
What is the Term?
What type of Loan Program
Place a X  for First Mortgage
or Second Mortgage
Subject Property Address:
CITY
STATE /COUNTRY
ZIP/
POSTAL CODE
COUNTY
NUMBER OF UNITS
Place X if this is a Purchase
Or a Refinance
If Refinance year acquired
Original Cost
Place X whether this is an owner occupied commerical property
Mixed Use/Store- Front
Or Investment (Rental) Property
What is the Sales Price/Value of Subject Property?
COMMERICAL INFORMATION
Business Name
Present Street Address
City, State, Zip/Postal Code
(area code) telephone number
Place (X) Whether you own or land lease
Are you selling your current property (if purchase or new construction?)
If there is a present mortgage, What is your monthly amount?
What is the existing lien on property?
How much is your current Hazard Insurance?
Property Tax
Mortgage Insurance
BORROWER INFORMATION
Borrower's First Name, Middle Initial
Borrower's Last Name
Social Security No.
Borrower's Age
Borrower's Employer
Position
Business Phone
Years on Job
Years in Profession
Place (x) If Self Employed
Borrower's Monthly Base Income
Borrower's Other Income
Describe Borrower's Other Income
Place (X) If Married
Separated
Unmarried
CO-BORROWER INFORMATION
Co-Borrower's First Name, Middle Initial
Co-Borrower's Last Name
Social Security No.
Co-Borrower's Age
Co-Borrower's Employer
Position
Business Phone
Years on Job
Years in Profession
Place (X) If Self Employed
Co-Borrower's Monthly Base Income
Co-Borrower's Monthly Other Income
Describe Co-Borrower's Other Income
ASSETS AND LIABILITIES
Deposit Toward Purchase/or Construction
Amount of the Deposit is:
Your Bank Name
Balance
Your 2nd Bank Name
Balance
Your 3rd Bank Name
Balance
Stocks, Bonds (Name, No. Units)
Total Value of Stocks and Bonds
Net Worth of Business owned
Value of All Real Estate you owned
Total Amount of Mortgages on your Real Estate
Gross Monthly  Rental Income from your Real Estate
Total Monthly Loan Payments on all your Real Estate
Total Insurance, Tax, Maint. on all your Real Estate
LAST BUT VERY IMPORTANT!
Your E-Mail Address:
Do you have another contact person to address any questions or get needed information from to process your loan request? Give contact number.
How did you hear about us?
PLACE AN (X) HERE WHEN FINISHED, PRIOR TO CLICKING SUBMIT, TO AUTHORIZE US TO CHECK YOUR CREDIT.  There is a Fee associated with obtaining a credit profile in the amount of $40
    Tax I.D.
GLOBAL FINANCING BROKERAGE
lease
Construction/Perm Loan
own
Balance
Mailing Address:
P.O. Box 1926, Chester, SC  29706
(803) 581-3695(803) 581-3782  Fax
Copyright 1990 -  2008 Jackson/Clyburn & Associates All Rights Reserved