SBA 7(a) LOAN APPROVAL APPLICATION

SBA 7(a) LOAN APPROVAL APPLICATION

Dear Prospective Borrower:

We're grateful you are interested in an SBA 7(a) loan from us. We believe our 7(a) loans are the best loan program for owners of small and mid-sized businesses who want to buy, refinance, build, or renovate their commercial real estate. SBA 7(a) loans are truly our specialty and several members of our team members have even used this loan program for themselves. Collectively, our team has over 75 years of SBA lending experience, and in that time period, we have been involved in over $23 billion of SBA financings. We're glad we can now use this experience to help you.

By sending us ALL of the documents attached on this application, we will be able to get your loan through our approval process, assuming qualification, in an expedited manner. Our goal with this COMPLETE loan application is to reduce any anxieties you may have about our loan process or getting approved, and quickly get you to the closing table.

Feel free to fill out this form by hand or type your information using Adobe Reader or Acrobat. To submit your documents, please email, fax, or mail them to us. If you type your information, you should be able to save the file and email the electronic version to us. If anything requested in this application isn't readily available to you or if you have any questions whatsoever about how to complete this application, contact us right away. We're here to help you. If anything requested in this application isn't readily available to you, or if you have any questions whatsoever about how to complete this application, please contact us right away. We're here to help you.

Thanks again for your interest in working with us. We sincerely look forward to working with you and helping you create wealth with our SBA 7(a) loan program.

-The Fountainhead Team

Fountainhead Commercial Capital 3216 W, Lake Mary Blvd. Lake Mary, Florida, 32746 Toll-Free: 1-844-340-5047 Email: Info@

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SBA 7(a) Loan Approval Checklist

Please submit the following documents via the APPLY TODAY tab on Fountainhead's website ().

Loan Request / General Information (form attached). Project Cost Breakdown with bids and estimates for costs and evidence of the source of the equity injection (form attached). Authorization to Release Information/PATRIOT Act Compliance, signed/dated by each 20%+ owner and their spouse (form provided). Driver's license for all borrowers/guarantors with 20% or more ownership in the operating company or real estate holding company. Personal Financial Statement for each 20%+ owner and their spouses (form provided). If married, the spouse's information and signature on this form, does not commit the spouse to be a guarantor on loan. Business Schedule of Liabilities for the borrowing entity, real estate holding company, and all affiliates (form provided) Previous three years of corporate tax returns for the borrower or seller (if business acquisition) and real estate holding company as well as affiliate entities. (Returns to be signed in blue ink. If seller returns, seller to sign). Interim financial statements (income statement and balance sheet) less than 60 days old, signed in blue ink, for borrower/seller, real estate holding company, and all affiliate entities. Previous three years of complete personal tax returns for all 20%+ owners, signed in blue ink.

Personal income/Expense summary for each 20%+ owner (form provided).

Personal resume for each individual with 20% or more ownership in the subject business For a start-up business, business acquisition, and/or business expansion: Business Plan, along with detailed monthly cash flow projections for the next 12 months, and annual projections for 2 additional years (3 years total)

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Loan Request / General Information

Applicant/Business Name: _________________________ DBA (if applicable) ______________________________ Business Site Address _____________________________ City/State/Zip _________________________________ Mailing Address (if different from above) ___________________________________________________________ County __________________________________ Key Contact __________________________________________ Type of Business _____________________________________ Telephone ________________________________ Tax ID Number ________________ Fax ___________________ E-mail ___________________________________ How is your Business Organized? Corporation Partnership Sole Proprietor LLC Other_______________ Year business was established: ________________ Year you took control of business: ______________________

OWNERSHIP & MANAGEMENT

Provide information below on key people (proprietor, partners, officers, directors, key employees, and stockholders with 20% or more interest in the business). Also include persons or entities that will guarantee the loan. Please be sure to include positions / title of each individual. Attach additional page if necessary.

Name

POSITION/TITLE (Pres, Sec, Treas, Partner, Managing Partner)

SEX

% OF OWNERSHIP (100% of ownership must be shown)

AFFILIATE BUSINESS

Do you own or control any other businesses?

No Yes (please complete information below)

Company Name

Owner

% Of Ownership

Number of Employees

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Project Cost Breakdown

ESTIMATED PROJECT COSTS Land Acquisition...........................................................................$...__...__...__...__...__.._________________ New Building Construction...............................................................$...__...__..._______________________ Construction Contingency (5-10%)......................................................$...__._________________________ Business Acquisition........................................................................$_...__...__...__.____________________ Land and Building Acquisition............................................................$_...__..________________________ Building or Leasehold Improvements/Repairs.................................... $___________________________ Acquisition of Machinery/Equipment...................................................$.___________________________ Acquisition of Furniture/Fixtures.........................................................$___________________________ Inventory Purchase........................................................................$...__...__...__..._____________________ Working Capital (including Accounts Payable).................................... $___________________________ Refinance....................................................................................$...__...__...__...__...__._. ________________ Closing Costs Including SBA Fees......................................................$...__..._________________________ Other Cost (____________________________).....................................$___________________________

$___________________________ TOTAL ESTIMATED PROJECT COSTS..........................................$_...__...__...__...__..__________________ LESS OWNER'S EQUITY TO BE INJECTED.......................................$...__...__...__._____________________ LESS SELLER BACK (If Applicable)...................................................$_...__...__._. _____________________ TOTAL LOAN REQUESTED FOR PROJECT....................................$_...__...__...__...____________________

EQUITY INJECTION Amount of Capital Injection: $ Personal Sources

Cash/Savings: IRA Liquid Value, If any: Stocks (to be liquidated): Home Equity: Credit Card Advance: Loan from Relative or Others: Other (please name): __________________________ Other (please name): __________________________

$___________________________ $___________________________ $___________________________ $___________________________ $___________________________ $___________________________ $___________________________ $___________________________

Business Sources Cash/Savings: Sales of Assets: Other (please name): __________________________ Other (please name): __________________________

TOTAL

$___________________________ $___________________________ $___________________________ $___________________________ $___________________________

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Authorization

TO RELEASE INFORMATION / PATRIOT ACT COMPLIANCE

I/We hereby authorize the release to Fountainhead Commercial Capital (Fountainhead) and/or assigns and the U.S. Small Business Administration (SBA) (collectively) any and all information Fountainhead and/or assigns may require at any time for any purpose related to our credit application and/or loan transaction with Fountainhead and/or assigns.

I/We hereby authorize Fountainhead to release any and all information and/or data (including but not limited to personal and/or business financial statements, personal and/or business income tax returns, payment and/or credit history) to any entity Fountainhead deems necessary for any purpose related to our credit application/loan transaction with Fountainhead and/or assigns.

I/We hereby acknowledge that all loan approvals will be in writing and subject to the terms and conditions set forth in the Loan Authorization issued by the U.S. Small Business Administration.

IMPORTANT INFORMATION

Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who applies for credit.

Request for ID: To comply with the USA PATRIOT Act, we request that a legible copy of an unexpired government issued photo Identification (ID) document be returned with this application for each individual applicant, guarantor or company owner. Acceptable types of ID include: (1) US State Drivers License; (2) State ID card; (3) Military ID card; (4) Passport; or (5) US Alien Registration card.

APPLICANT (ENTITY)

BY

EIN

GUARANTOR (PLEASE PRINT)

GUARANTOR SIGNATURE

SOCIAL SECURITY #

DATE

GUARANTOR (PLEASE PRINT)

GUARANTOR SIGNATURE

SOCIAL SECURITY #

DATE

GUARANTOR (PLEASE PRINT)

GUARANTOR SIGNATURE

SOCIAL SECURITY #

DATE

GUARANTOR (PLEASE PRINT)

GUARANTOR SIGNATURE

SOCIAL SECURITY #

DATE

In conjunction with your loan application, Fountainhead is required by federal regulation to obtain a written statement from individuals expressing their intent to apply for joint credit. Please sign below to acknowledge your intent.

We intend to apply for joint credit.

CO-APPLICANT/CO-GUARANTOR (PRINT)

CO-APPLICANT/CO-GUARANTOR SIGNATURE

SOCIAL SECURITY #

DATE

CO-APPLICANT/CO-GUARANTOR (PRINT)

CO-APPLICANT/CO-GUARANTOR SIGNATURE

SOCIAL SECURITY #

DATE

Please return a copy of this disclosure with a legible copy of requested ID for each individual applicant, guarantor, company owner, or co- applicant (as applicable).

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