Commercial Loan Application

Loan Information

(See Estimated Project Costs for Requested Loan Amount)

Borrower Information

Contact Information

Illegal Activity

Are you presently under indictment, on parole, or on probation?

Have you ever been charged with, arrested, and/or convicted of any criminal offense other than a minor motor vehicle violation?

Estimated Project Costs

Costs/Uses of Funds. Please outline the use of funds in the space below. Be as specific as possible.

  Total Costs Comments
10% – 30% or greater borrower's cash investment depending on project

Ownership of Applicant Company

(Show 100% of ownership, including all proprietors, partners, officers, directors, and any holders of outstanding stock.)

Name/Title % Owned Compensation Active? Citizen? Green Card?

Sources of Capital Injection/Equity

When purchasing Real Estate, Equipment, or other assets, between 10% – 30% or more may be required as cash injection toward the purchase. Please list the location of the funds to be used as capital/cash injection.

Amount Where Funds Are Held or Source of Equity Injection

Collateral for this Loan

Additional Information

Has any applicant filed for Bankruptcy in the past?

Do applicants owe any past taxes?

Have you prepared a Business Plan?

Have you completed cash flow projections?

Principal Investors


List below all business concerns in which the Applicant Company or any of the individuals listed in the ownership section above have any ownership.

Company Name Name, Type of Ownership % of Ownership

loading reCAPTCHA...
You must verify the reCAPTCHA above before you can submit the form.

If you need further assistance or information, please contact an AmeriState account representative at (800) 522-4079.

External Link Disclaimer

Ameristate Bank has no control over information at any site hyperlinked to or from this website. Ameristate Bank makes no representation concerning and is not responsible for the quality, content, nature, or reliablity of any hyperlinked site and is providing this hyperlink to you only as a convenience. The Privacy and Security policies of the hyperlinked site may differ from those of Ameristate Bank. The inclusion of any hyperlink does not imply any endorsement, investigation, verification or monitoring by Ameristate Bank of any information in any hyperlinked site. In no event shall Ameristate Bank be responsible for your use of a hyperlinked site.

If you "Continue", the link will attempt to open a new window. If it is unable to, the link will open in the current window. 



Email Disclaimer

Notice: Because there is a risk that information transmitted via Internet email could fall into the wrong hands, Ameristate Bank suggests that confidential information, such as account numbers or social security numbers, not be transmitted via email. Instead, please contact Ameristate Bank directly at your nearest bank branch.