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7/24/2019 Credit Application Capital 94
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CAPITAL 94, LLC. CREDIT APPLICATION PACKAGE CHECKLIST
Franchisee Name: INCL DED IN THE PACKAGE !ES "r NO1 A##$ica%i"n
If no, explain:a. C"m#an&'s (an) S%a%emen%s *"r #as% + m"n%hsIf no, explain:
b. Financia$ S%a%emen%s (a$ance Shee% - P- Ls *"r c/rren% !TD an0 #re1iIf no, explain:c. Las% T2" &ears "* Fe0era$ Inc"me Ta3 re%/rns *"r #ers"na$ an0 /sinessIf no, explain:
2 Sche0/$e "* (/siness De % c"#& "* m"s% recen% cre0i%"rs' s%a%emen%sIf no, explain:
3 Sche0/$e "* (i0s inc$/0in5 c"#ies "* a$$ 1en0"r an0 c"ns%r/c%i"n i0sIf no, explain:
4 Pers"na$ Financia$ S%a%emen%s "ne *"r each Par%nIf no, explain:
5 Pers"na$ Cash F$"2 "ne *"r each Par%nerIf no, explain:
6 Re$ease F"rm Si5ne0 Ori5ina$s 6 "ne *"r each Par%If no, explain:
7 C"#& "* Si5ne0 Lease m/s% ha1e e*"re n"%e c$"siIf no, explain:
9 O%her:Describe:
Sen0 %he a "1e #ac)a5e %":Ca#i%a$ 94, LLC.A%%en%i"n: Pa%ricia Pe0r"ni+47768 K"ri R"a0
ac)s"n1i$$e, FL + ;<
O=ce se On$&
Package Recei e! on:
Package "o#ple$e: %es&&&&&& or 'o&&&&&& If no, co##en$s
(eneral "o##en$s on $)e !oc*#en$s pro i!e!:
"o##*nica$ion +og: Da$e Re *es$e! Da$e "o#ple$e123
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CAPITAL 94, LLC( SINESS CREDIT APPLICATIONPa5e One
INFOR>ATION A(O T ( SINESS:
Ta3 ID N/m er:
Ci%&
>ai$in5 A00ress i* 0i?eren% *r"m a "1e
Fa3 N/m er: A00ress:
Ce$$ N/m er:
Emai$: Ci%&
INFOR>ATION A(O T THE LOAN RE@ EST:
L"an T&#e: B S/ccess"r B Ne2 Res%a/ran% B P/rchase E3is%in5 Res%a/ra
Res%a/ran% : Fr"m Sche0/$e "* (i0s:
- .Less 7 : - .
Am"/n% Re /es%e - .
C"$$a%era$:
FOR OFFICE SE ONL!:
F"r Term L"an "* >"n%hs In%eres% Ra%e 7.77 D/e a% C$"sin5
INFOR>ATION A(O T EACH ( SINESS O NER OR OTHER G ARANTORS:
Name:
A00ress: Da%e "* (ir%h:
Ci%&
(/s nessName:
Franchisee'sName:
S%a%e "*Inc"r#"ra%i"n:
(/sinessA00ress:
C/rren% Fisca$ !ear: *"r Pri"r Fisca$
!ear: Ji#
P "neN/m er:
S%a%eJi#
Res%a/ran% A00ress:
(/i$06O/%Am"/n%:
Si5ne0 !"r N
S 5ne !"r N
0a%e "*si5nin5 O#enin5Da%e
0a%e F/n0in5Nee0e0:
Name -
N".Res%a/ran% Name - N".
S"cia$ Sec/ri%&N/m er:
Percen% (/sinessO2nershi#: Ji#
N/m er:
:
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Fa3 N/m er: (/siness Ti%$e:Emai$:
"r%h:
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CAPITAL 94, LLCPAGE INFOR>ATION A(O T EACH ( SINESS O NER OR OTHER G ARANTORS c"n%'0 :
Name:
A00ress: Da%e "* (ir%h:
Ci%&
(/siness Ti%$e:Fa3 N/m er:Emai$:
Name:
A00ress: Da%e "* (ir%h:
Ci%&
(/siness Ti%$e:Fa3 N/m er:Emai$:
Name:
A00ress: Da%e "* (ir%h:
Ci%&
(/siness Ti%$e:Fa3 N/m er:Emai$:
F"r A$$ Cre0i% Re /es%s, #$ease s/##$& %he *"$$"2in5 Mnancia$ in*"rma%i"n:
F nanc a S%a%emen%s (a ance S ee% - P-Ls "r C/rren% !TD an Pre1/
Pers"na F nanc a S%a%emen% 6 "ne "r eac Par%ner.
Pers"na Cas F "2 6 "ne "r eac Par%ner. Doc*#en$a$ on 0*ppor$ ng 0$a$e "as oC"#& " Ar% c es " Inc"r#"ra% "nC"#& " Dra % Lease E3ec/%e Lease D/e Pr "r %" C "s n5Sc e / e " e %s "2e & /s ness 2 % a%%ac e m"s% c/rren% s%a%em0ee a$$ac e sc e * e Page 3.
C"# es " ( s S/##"r% n5 Re /es%e L"an Am"/n%
A##$ican% Da%e A##$ican% D
A##$ican% Da%e A##$ican% D
S"cia$ Sec/ri%&N/m er:
Percen% (/sinessO2nershi#: Ji#
N/m er:
"r%h:
S"cia$ Sec/ri%&N/m er:
Percen% (/sinessO2nershi#: Ji#
N/m er:
"r%h:
S"cia$ Sec/ri%&N/m er:
Percen% (/sinessO2nershi#: Ji#
N/m er:
"r%h:
Pers"na - (/s ness (an S%a%emen%s "r #as% + m"n% s.
Las% T2" &ears Fe0era$ Inc"me Ta3 re%/rns *"r #ers"na$ an0 /siness.
/ 0$a$e#en$, "as) al*e +ife Ins*rance Polic , +oan Recei able 'o$e .
I8 e )earb appl for $)e loan as !escribe! in $)is applica$ion. I8 e cer$if $)a$ I8 e #a!e no #isrepresen$a$ions in $)isloan applica$ion or an rela$e! !oc*#en$s, $)a$ all infor#a$ion is $r*e an! co#ple$e, an! $)a$ I8 e !i! no$ o#i$ ani#por$an$ infor#a$ion. +en!er is a*$)ori e! $o erif i$) o$)er par$ies an! $o #ake an in es$iga$ion on # 8o*r cre!i$an! )is$or , ei$)er !irec$l or $)ro*g) an angenc e#plo e! b +en!er for $)a$ p*rpose. +en!er #a !isclose $o ano$)er in$ers$e! par$ies infor#a$ion as $o +en!er;s experiences i$) # 8o*r acco*n$. I8 e *n!ers$an! $)a$ $)e +en!er
ill re$ain $)is applica$ion an! an o$)er cre!i$ infor#a$ion +en!er recei es, e en if no loan is gran$e!. I8 e f*ll*n!ers$an! $)a$ i$ is a fe!eral cri#e p*nisable b <ne or i#prision#en$ or bo$) $o kno ingl #ake an false s$a$e#en$sconcerning an of $)e abo e fac$s on $)is applica$ion *n!er $)e pro isions of =i$le 1>, ?ni$e! 0$a$es "o!e, 0ec$ion 1 14.
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CAPITAL 94, LLCSCHED LE OF ( SINESS DE(TPAGE + C"m#an& Name:
SCHED LE OF ( SINESS DE(T
inancial Ins$i$*i$ion =er#s
T"%a$ 7 7 7
Please *se $)is for# $o lis$, in !e$ail, b*siness in!eb$e!ness, rela$e! $o o*r ir =)is lis$ing s)o*l! incl*!e, b*$ no$ li#i$e! $o, lines of cre!i$, $er# ins$all#en$cre!i$. Please <ll o*$ $)is for# as co#ple$el as possible.
@riginal#o*n$
In$eres$Ra$e
Aa$*ri$ Da$e
Aon$)lPa #en$
Presen$Balance
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"olla$eral Ple!ge!
)o*se 0*bs "o#pan .loans an! le$$ers of
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CAPITAL 94, LLCSCHED LE OF (IDS 6 SCHED LE AC"m#an& Name:PAGE 4
SCHED LE OF (IDS 6 SCHED LE Aen0"r Descri#%i"n Am"/n%
E@ IP>ENT S>ALL ARES.
- .
REGISTERS
- .
D COR PACKAGE
.
SIGNAGE
.
CONSTR CTION COST - RELATED FEES
- .OTHER COST DESCRI(E
- .
(/i$06O/% Am"/n% 7.77
'o$e: If c$*al bi!s are no$ a ailable for PreCappro al, *se es$i#a$es. c$*al bi!s ill bere *ire! before $)e loan "losing.
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QQNOTE: ATTACH (ID SHEETS FRO> ENDORSQQ
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PERSONAL FINANCIAL STATE>ENTOne *"r Each Par%ner
Name:
Pa5e Fi1eSECTION A INDI ID AL INFOR>ATION
Name (/siness Name
(/siness A00ressCi%&, S%a%e - Ji# Ci%&, S%a%e - Ji# (/s. Ph"ne
ASSETS In D"$$ars LIA(ILITIES In D"$$ars
0$ocks an! bon!s D*e $o brokers
cco*n$s pa able
Real es$a$e o ne!
+oans Recei able
*$o#obiles
o*se)ol! f*rnis)ings
"as) al*eC+ife Ins*r@$)er !eb$s E i$e#i e:
@$)er asse$s E i$e#i e:
TOTAL LIA(ILITIES-
NET ORTH -TOTAL ASSETS
7 7
0igna$*re:
Prin$e! 'a#e:
0.0. 'o.
Da$e of Bir$):
Da$e 0igne!:
Resi0enceRes. Ph"ne
SECTION ( STATE>ENT OF PERSONAL FINANCIAL CONDITION AS
"as) on )an! an! inbanks
'o$es pa able $o banks C*nsec*re!
@$)er Brokerageacco*n$s
@$)er acco*n$s an! bills
o e!?npai! inco#e $ax an!in$eres$
@$)er *npai! $axes an!in$eres$
Real es$a$e #or$gagespa able
TOTAL LIA(ILITIESAND NET ORTH
=)e infor#a$ion con$aine! in $)is s$a$e#en$ is pro i!e! for $)e p*rpose of ob$aining, or #ain$aining cre!i$ i$) o* on be)alfof $)e *n!ersigne!, or persons, <r#s or corpora$ions in )ose be)alf $)e *n!ersigne! #a ei$)er se erall or Foin$l i$)o$)ers, exec*$e a g*aran$ in o*r fa or. Gac) *n!ersigne! *n!ers$an!s $)a$ o* are rel ing on $)e infor#a$ion pro i!e!)erein incl*!ing $)e !esigna$ion #a!e as $o o ners)ip of proper$ in !eci!ing $o gran$ or con$in*e cre!i$. Gac) *n!ersigne!represen$s an! arran$s $)a$ $)e infor#a$ion pro i!e! is $r*e an! co#ple$e an! $)a$ o* #an consi!er $)is s$a$e#en$ ascon$in*ing $o be $r*e an! correc$ *n$il a ri$$en no$ice of a c)ange is gi en $o o* b $)e *n!ersigne!. %o* are a*$)ori e! $o#ake all in *iries o* !ee# necessar $o erif $)e acc*rac of $)e s$a$e#en$s #a!e )erein, an! $o !e$er#ine # 8o*r
cre!i$ or$)iness. %o* are a*$)ori e! $o ans er *es$ions abo*$ o*r cre!i$ experience i$) #e.
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PERSONAL CASH FLOOne *"r Each Par%ner
Name:
Pa5e Si3 >"n%h$& Inc"me S"/rce "* Inc"me
0alar H10alar H2 spo*se, if applicable@$)er 0alarRen$al Real Gs$a$e Inco#eRen$al Real Gs$a$e Inco#e H2In$eres$ Inco#eB*siness Inco#eB*siness Inco#e H2@$)er Inco#e@$)er Inco#e@$)er Inco#e
TOTAL >ONTHL! INCO>E 7
>"n%h$& Pa&men%s Descri#%i"n "* E3#enseo#e Aor$gage or Ren$ P #$.
2n! Aor$gage or +ine of "re!i$Ren$al Aor$gageRen$al Aor$gage H2Proper$ =axes Ins*rance all
*$o +oan*$o +oan H2*$o +oan H3
Ins$all#en$ +oanIns$all#en$ +oan H2Ins$all#en$ +oan H3"re!i$ "ar!s
li#on 8")il! 0*ppor$Personal Inco#e =axesIns*rance *$o8+ife8G$c.
ll @$)er +i ing Gxpenses?$ili$ies")il! "are"able Bill
=elep)one incl*!ing "ellp)ones(roceriesGn$er$ain#en$@$)er
TOTAL >ONTHL! E PENSE 7
>ONTHL! CASH FLO 7
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Si5na%/re Da%e