SBA Loan Application

Getting Started
Loan Info
General Info
Applicant Info
Owner Info
Confirm

SBA Loan Application

* Denotes a required field.

Do you currently have an active account or loan with 1st Source? *

Yes

Ownership Information

(Ownership must = 100%)

Total Ownership:	Owner: /

Loan Information

Amount Requested *

Loan Purpose *

Loan Type *

Requested Term *

Will the loan be secured by a single family or multifamily dwelling (excluding agricultural land/farms? *

Yes

Are you working with a particular 1st Source lender or banking center?

Yes

Confirm Application & Disclosures

Personal Information

Name:

Social Security / Taxpayer ID:

Primary Phone Number:

Email Address:

Address Information

Address:

Mailing Address:

Applicant #2

Name:

Social Security / Taxpayer ID:

Address Information

Address:

Applicant #3

Name:

Social Security / Taxpayer ID:

Address Information

Address:

Applicant #4

Name:

Social Security / Taxpayer ID:

Address Information

Address:

Loan Information

Amount Requested:

Loan Purpose:

Loan Type:

Loan Term:

Agreement to Receive Electronic Communications
Please print a copy of this Agreement for your records. This Agreement contains important information. You should read it carefully and keep a copy for your records. CLICK HERE TO PRINT By accepting the terms of this agreement, you authorize 1st Source Bank to provide information to you electronically in lieu of certain paper notifications related to the account or product for which you are applying. If you do not wish to proceed with your application online, you can visit any 1st Source Banking Center to complete the application process. Computer Requirements: In order to access, view and retain communications that we make available electronically, you must have: A personal computer or other device that is capable of accessing the Internet. Your access to this page verifies that the system/device you are currently using meets these requirements. An Internet browser that supports 128-bit SSL encryption, such as Internet Explorer (8.0 or newer), Edge, Firefox, Safari or Google Chrome. Your access to this page verifies that the browser and encryption software/device you're currently using meet these requirements. An e-mail account with an Internet service provider and e-mail software capable of sending and receiving email. You must have software that permits you to receive and access Portable Document Format (PDF) files. If you do not have such software, it can be downloaded at http://get.adobe.com/reader/ A printer capable of printing copies of information for your records or sufficient storage capacity on your computer's hard drive or other storage unit, such as a flash drive, to save copies of information for your records. Email Address: Electronic communication may be sent to the email address that you have provided to us. If the email is returned as undeliverable, we reserve the right to use postal addresses. Please notify us of any change in your email address by contacting us at (574) 235-4440 or (888) 236-0779. Withdrawal of Consent: There are no fees, conditions, or consequences associated with switching from electronic to paper disclosures. You may withdraw consent to receive electronic disclosures at any time after your online application has been received by contacting us at (574) 235-4440 or (888) 236-0779. Paper Copy: You agree that 1st Source Bank does not need to provide you with an additional paper (non-electronic) copy of the disclosures, notices, terms and conditions, unless specifically requested. If you would like to receive a free paper copy of any information or disclosures that you agreed to receive electronically, please contact us at (574) 235-4440 or (888) 236-0779. Disclosures: All electronic disclosures shall be in compliance with applicable laws and regulations. Terminating this online session prior to submitting the application will automatically withdraw your consent to receive electronic disclosures. We may send the following disclosures and communications to you electronically: all communications concerning your relationship with 1st Source Bank or its affiliates, including any disclosure or notice required by federal or state law. Consent: By accepting this agreement, you are confirming that you have the ability to access, view and retain documents through electronic means and further consent to the electronic delivery of the disclosures, notices, terms and conditions pertaining to this application. 02-09-2016 ver. 2.1
Before accepting, CLICK HERE to verify your ability to view content in a PDF format. * Yes, I have verified my ability to read PDF documents and consent to receive disclosures, notices, terms & conditions electronically. No, I was unable to view content in a PDF format. No, I do not consent to receive disclosures, notices, terms and conditions related to this application electronically.

Agreement to Receive Electronic Communications

Please print a copy of this Agreement for your records. This Agreement contains important information. You should read it carefully and keep a copy for your records. CLICK HERE TO PRINT

By accepting the terms of this agreement, you authorize 1st Source Bank to provide information to you electronically in lieu of certain paper notifications related to the account or product for which you are applying. If you do not wish to proceed with your application online, you can visit any 1st Source Banking Center to complete the application process.

Computer Requirements:
In order to access, view and retain communications that we make available electronically, you must have:

A personal computer or other device that is capable of accessing the Internet. Your access to this page verifies that the system/device you are currently using meets these requirements.
An Internet browser that supports 128-bit SSL encryption, such as Internet Explorer (8.0 or newer), Edge, Firefox, Safari or Google Chrome. Your access to this page verifies that the browser and encryption software/device you're currently using meet these requirements.
An e-mail account with an Internet service provider and e-mail software capable of sending and receiving email.
You must have software that permits you to receive and access Portable Document Format (PDF) files. If you do not have such software, it can be downloaded at http://get.adobe.com/reader/
A printer capable of printing copies of information for your records or sufficient storage capacity on your computer's hard drive or other storage unit, such as a flash drive, to save copies of information for your records.

Email Address:
Electronic communication may be sent to the email address that you have provided to us. If the email is returned as undeliverable, we reserve the right to use postal addresses. Please notify us of any change in your email address by contacting us at (574) 235-4440 or (888) 236-0779.

Withdrawal of Consent:
There are no fees, conditions, or consequences associated with switching from electronic to paper disclosures. You may withdraw consent to receive electronic disclosures at any time after your online application has been received by contacting us at (574) 235-4440 or (888) 236-0779.

Paper Copy:
You agree that 1st Source Bank does not need to provide you with an additional paper (non-electronic) copy of the disclosures, notices, terms and conditions, unless specifically requested. If you would like to receive a free paper copy of any information or disclosures that you agreed to receive electronically, please contact us at (574) 235-4440 or (888) 236-0779.

Disclosures:
All electronic disclosures shall be in compliance with applicable laws and regulations. Terminating this online session prior to submitting the application will automatically withdraw your consent to receive electronic disclosures. We may send the following disclosures and communications to you electronically: all communications concerning your relationship with 1st Source Bank or its affiliates, including any disclosure or notice required by federal or state law.

Consent:
By accepting this agreement, you are confirming that you have the ability to access, view and retain documents through electronic means and further consent to the electronic delivery of the disclosures, notices, terms and conditions pertaining to this application.

02-09-2016 ver. 2.1

Disclosures
The USA Patriot Act Federal law requires we obtain, verify and record information that identifies each customer who opens an account. How does this affect you? For new personal banking customers, we will ask to see your driver's license or other identifying documents. We will request your legal name, date of birth, physical address and tax identification number for each customer on the account. Safeguarding your information is a top concern, and we will respect and protect it as always. Thank you for your understanding and cooperation. Equal Credit Opportunity Statement The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, or age (provided the applicant has the capacity to enter into a binding contract); or because all or part of the Applicant’s income derives from any public assistance program; or because the Applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that oversees 1st Source Bank’s compliance with this law is: Federal Reserve Bank Consumer Help, PO Box 1200, Minneapolis, MN 55480. Phone: (888) 851-1920. Personal Information Authorization You, individually and on behalf of all co-applicants and guarantors for whom you have authority to act, authorize 1st Source Bank to obtain a consumer credit report and otherwise verify, in any manner it deems appropriate, employment history and income, bank accounts, payment histories, and income tax returns. This authorization remains in effect now and during the life of your relationship with 1st Source Bank. A copy of this authorization may serve as the original and be used as a duplicate original. Information Required 1st Source Bank will require information from Applicant that 1st Source Bank regularly obtains and considers in evaluating credit applications for the purpose and amount of the credit requested. The Bank may require a Personal Financial Statement. Notice of Credit Decision 1st Source Bank will notify Applicant of the credit decision within 30 days of receipt of a completed credit application. If the application is declined, Applicant has the right to request in writing that 1st Source Bank provide an adverse action notice with the specific reasons for the credit decision. This written request must be made within 60 days of the date you are notified of the credit decision. Requests should be sent to the Business Loan Operations Manager at 1st Source Bank, 100 North Michigan Street, SBMO-3, South Bend, IN 46601. Appraisal Notification for 1st Lien Residential Dwelling Used As Collateral For a residential dwelling, we may order an appraisal to determine the property’s value and charge you for this appraisal. We will promptly give you a copy of any residential appraisal, even if your loan does not close. You can pay for an additional appraisal for your own use at your own cost. Business-Purpose Loan You agree that all loan proceeds will be used for a business purpose. Joint Credit Statement You certify that you have the authority to apply jointly on behalf of any individual/entity identified in this application as a joint applicant and that all joint applicants are aware of this application.
Everything that I/we stated herein is correct to the best of my/our knowledge. I/we understand that you will retain this information whether or not it is approved. You are authorized to check my/our credit and employment history, and to answer questions about your credit experience with me/us. By checking the box below, you consent to the electronic delivery of the initial disclosures, notices, and terms and conditions associated with this application process. You also agree that 1st Source Bank does not need to provide you with paper copies, unless specifically requested. *

Disclosures

The USA Patriot Act

Federal law requires we obtain, verify and record information that identifies each customer who opens an account.

How does this affect you? For new personal banking customers, we will ask to see your driver's license or other identifying documents. We will request your legal name, date of birth, physical address and tax identification number for each customer on the account.

Safeguarding your information is a top concern, and we will respect and protect it as always. Thank you for your understanding and cooperation.

Equal Credit Opportunity Statement

The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, or age (provided the applicant has the capacity to enter into a binding contract); or because all or part of the Applicant’s income derives from any public assistance program; or because the Applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that oversees 1st Source Bank’s compliance with this law is: Federal Reserve Bank Consumer Help, PO Box 1200, Minneapolis, MN 55480. Phone: (888) 851-1920.

Personal Information Authorization

You, individually and on behalf of all co-applicants and guarantors for whom you have authority to act, authorize 1st Source Bank to obtain a consumer credit report and otherwise verify, in any manner it deems appropriate, employment history and income, bank accounts, payment histories, and income tax returns. This authorization remains in effect now and during the life of your relationship with 1st Source Bank. A copy of this authorization may serve as the original and be used as a duplicate original.

Information Required

1st Source Bank will require information from Applicant that 1st Source Bank regularly obtains and considers in evaluating credit applications for the purpose and amount of the credit requested. The Bank may require a Personal Financial Statement.

Notice of Credit Decision

1st Source Bank will notify Applicant of the credit decision within 30 days of receipt of a completed credit application. If the application is declined, Applicant has the right to request in writing that 1st Source Bank provide an adverse action notice with the specific reasons for the credit decision. This written request must be made within 60 days of the date you are notified of the credit decision. Requests should be sent to the Business Loan Operations Manager at 1st Source Bank, 100 North Michigan Street, SBMO-3, South Bend, IN 46601.

Appraisal Notification for 1st Lien Residential Dwelling Used As Collateral

For a residential dwelling, we may order an appraisal to determine the property’s value and charge you for this appraisal. We will promptly give you a copy of any residential appraisal, even if your loan does not close. You can pay for an additional appraisal for your own use at your own cost.

Business-Purpose Loan

You agree that all loan proceeds will be used for a business purpose.

Joint Credit Statement

You certify that you have the authority to apply jointly on behalf of any individual/entity identified in this application as a joint applicant and that all joint applicants are aware of this application.

Everything that I/we stated herein is correct to the best of my/our knowledge. I/we understand that you will retain this information whether or not it is approved. You are authorized to check my/our credit and employment history, and to answer questions about your credit experience with me/us.

By checking the box below, you consent to the electronic delivery of the initial disclosures, notices, and terms and conditions associated with this application process. You also agree that 1st Source Bank does not need to provide you with paper copies, unless specifically requested. *

To retain a copy of these disclosures for your records, click here to PRINT.

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