2. Personal Financial Statement
Enter personal assets, liabilities, income, expenses, and disclosures. Use dollar amounts. Leave no blanks; enter “0” or “None” when applicable.
Assets & Liabilities Cash / Deposits U.S. Government Obligations Other Investments Retirement Assets / IRA / 401(k) Life Insurance Cash Value Real Estate Value Autos / Machinery / Other Assets Business Interests Mortgage Notes Payable Other Notes / Loans Credit Cards / Open Accounts Taxes Due ?
Annual Income & Expenses Salary, Wages, Commissions Business Income Rents / Royalties Investment Income Mortgage or Rent Expense Income Taxes ? Insurance Premiums ? Property Taxes
Other assets, liabilities, trusts, leases, guarantees, cosigned debts, or disclosures
4. Business Being Purchased
Tell us what is being purchased and what is included. This helps determine whether the loan is supported by business collateral, real estate collateral, or both.
Seller-provided items: Some questions and documents may need to be provided by the seller, including business debts, business leases, and business tax returns for the last 3 years.
Business Name Industry / Type of Business Business Address Years in Operation Purchase Price Estimated EBITDA / Cash Flow Seller Name Executed Contract?No Yes
What is being purchased?Business assets only Business and real estate Real estate only Stock/entity purchase
Describe assets included, FF&E, inventory, goodwill, licenses, contracts, and any collateral
Buyer experience in this industry
7. Document Checklist & Uploads
Important: All IDs require front and back copies. For all documents, include every page, even blank pages. Upload what you have now; any missing item will be included in a reminder checklist.
Notes about available or missing documents