Application for Hotel / Motel Financing

HOTEL / MOTEL FINANCING APPLICATION

Business Name________________________________________________________________________

Phone____________________ Fax____________________Email______________________________

Address______________________________________________________________________________

City, State, Zip______________________________________________County___________________

Type of Business______________________ Date Established______Terms of Sale_____________

Corporation____Partnership____Indiv____State Incorporated______Years in Business_______

Federal Tax ID#___________________________________ D.U.N.S.#__________________________

Property to be financed:________________________________________________________________

Sales Price Requested amount and term of Financing $ _______________

______________________________________________________________________________________

Seller/Broker Name__________________________________Phone____________________________

OWNER OR OFFICER Name ____________________________________ Title_______________

Home Address ____________________________________ Date of Birth_______________________

City, State, Zip ____________________________________ SSN_______________________________

Home Phone ______________ Driver's License ________ % ownership _______________________

OWNER OR OFFICER Name ____________________________________Title _______________

Home Address ____________________________________ Date of Birth _______________________

City, State, Zip ____________________________________SSN _______________________________

Home Phone ______________ Driver's License ________% ownership________________________

BANK Name _____________________ Branch ________________Bank Officer________________

Checking Acct # ____________Loan #_________________Phone _____________________________
ADDITIONAL INFORMATION MAY BE REQUESTED:
Business License; Articles of Incorporation; Latest Financial Statement; Are the Receivables pledged as collateral?____; Any Federal, State or Payroll Taxes, delinquent?____; Any Judgements or Liens pending or in effect? ____; Has the Company or any of its Principals ever filed Bankruptcy?____; Any Owner or Officer been convicted of a felony?____
We give permission for the release of any information regarding this application for the purpose of credit. Date: _________; Signature: ______________________; Title _______________

CASH FINANCIAL SERVICES; Bob Moore; P.O. Box 1683; Lawton OK 73502
Phone toll-free 866-944-6634 Fax 501-639-2475; www.hotel.gobot.com Email: cashfs@gmail.com