ISC Capital Management
Startup Financing 

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ISC Business Loan Application

To apply for an ISC Business Loan, please complete the following questions and select the "Continue" button at the bottom of the page.

Important:  This application should take about 60 minutes to complete.  The application has ten sections: 1) Loan request, 2) Business information, 3) Business premises (if owned), 4) Business premises (if leased), 5) Business banking relations, 6) Personal information, 7) Employment information, 8) Personal financial statements, 9) Personal banking relations, 10) Particulars of real estate and mortgages owing, 11) Personal income and expenses, and 12) Life Insurance.  Please be prepared to provide financial information about yourself and your business.  After completing the application, we suggest that you please save or print a copy for your records.

Note:  Items with * are mandatory.

1) Loan Request

What is the purpose of the loan?
If you have selected "Other", please specify.
How much do you want to borrow? $
Provide details regarding purposes of loan. In the case of capital purchase(s), include description, total cost, and amount/terms of the other financing.

2) Business Information

Full legal name of business *  
Trade name (if applicable)     
 
Business address *        Unit #
Town or city *              *
Postal ZipCode *
 
Federal Tax ID Number *   - -
Business phone * (   ) -   ext
Business Fax phone * (   ) -   

E-Mail:  

* Do you own or rent your business property?

None selected
Own
Rent


Who are the principal owners? Ownership Role/function Full time?
Name    %
None selected
Yes
No
Name    %
None selected
Yes
No
Name    %
None selected
Yes
No
Name    %
None selected
Yes
No


 

Business classification *
If you have selected "Other", please specify.   
Number of locations *
Type of market
       Local
       National
       Regional
       International 		Number of full time employees    
Number of part time employees  
Describe major products and services (An ISC representative may contact you in order to have Marketing Materials forwarded at a later date [if available]) *

3) Business Premises (if owned)

Brief legal description   
Year of purchase   
Purchase price    $
Current market value      $
Amount of mortgage(s)   $
       Owing to  
       Maturity date *    / yyyy

4) Business Premises (if leased)

Lessor's name   
Monthly payments   $      Option to renew?   
None selected
Yes
No

5) Business Banking Relations

Details of borrowings
Name and
address of 
Financial
Institution
Amount
authorized 		$ $ $
Outstanding
amount 		$ $ $
Repayment
amount 		$ $ $
Payment
frequency 		$ $ $
Maturity
date 		/ / /
Secured?
None selected
Yes
No
None selected
Yes
No
None selected
Yes
No


 

Do environmental factors and regulations impact this business? *
None selected
Yes
No


 

Has this business every filed for bankruptcy or defaulted on any debts? *
None selected
Yes
No


 

Is this business a party to any claim or lawsuit? *
None selected
Yes
No


 

Has this business guaranteed the loans or financial commitments of others? *
None selected
Yes
No


 

If "yes" to any of the above, please provide details below:

6) Personal Information

First name and initials *     Last name *
Date of birth * /      SSN - -
Residential address 
City or town             
Postal ZipCode      
At current address since *      / yyyy
Residential status *   
Home phone number *            (   ) -
Previous address (if less than 2 years at current address)
       Number of years at previous address   
       Street address 
       City or town      
       Postal Zip       

7) Employment Information

Employer's Name * Position
Street address 
City or Town 
Postal ZipCode
Telephone No: (   ) - *
What date did you start? * / yyyy *
 
 
Previous Employer (if less than 2 years at current employer) How long?
 
 
Spouse's Employer     Position
What date did your spouse start? / yyyy

8) Personal Financial Statements

As of (date):    / yyyy *
Assets Liabilities
Cash $ Mortgage(s)
(details to follow) 		$
Term Deposits $ Loans $
GICs $ Credit Card(s) $
Mutual Funds $ Personal Line of Credit $
Stocks $ Department Stores $
CSGBs $ Other
(specify) 		$
RRSPs $ Total Liabilities * $
Residence
(details to follow) 		$    
Other Real Estate
(details to follow) 		$
Vehicle(s) $    
Other
(specify) 		$    
Total Assets $ *
 
Net Worth
(Total Assets minus
Total Liabilities) * 		$ Total
(Total Liabilities plus
Net Worth) * 		$

9) Personal Banking Relations

Details of deposits/investments listed above:
Type of Deposit/Investment Account Number $ Amount Name/Address of Financial Institution
 
 
 
 
 
Details of personal loans/credit cards listed above:
Loan purpose/card type Account Number Authoriza- tion  Limit Current Balance Creditor Name and Address
$ $
$ $
$ $
$ $

10) Particulars of Real Estate and Mortgages Owing

Street Address
City or Town
State
Postal ZipCode
Purpose of Bldg
Purchase Price Current Mkt Value Property Registered in Names of
$ $
Amount of Mortgage Owing to Year of Purchase
$ 

11) Personal Income and Expenses

Monthly Income Monthly Payments
Gross Monthly Income $ Mortgage Payments $
Spouse's Gross Monthly Income $ Property Taxes (if not included in mortgage pmt) $
Other (please specify) $ Rent $
(Itemize here if required) $ Loan Payments $
  $ Personal Line of Credit $
  $ Credit Card Payments $
  $ Support Payments $
    Other (please specify) $
Total $ Total Payments $
Have you guaranteed the loans or financial commitments of others?    *
None selected
Yes
No
Have you ever filed for bankruptcy?    *
None selected
Yes
No
Have you ever been a principal or guarantor of a business that has filed for bankruptcy or defaulted on any debts?    *
None selected
Yes
No

Are you a party as a debtor/defendant to any claim or lawsuit?    *
None selected
Yes
No

If "yes" to any of the above, please provide details below:

12) Life Insurance

Should we include life insurance with your loan application?    *
None selected
Yes
No

ISC may from time to time give any credit and other information about me or the business, including any information on this form, to receive such information from:  (a) any credit bureau or reporting agency; (b) any person with whom either the business or I may have or propose to have financial dealings; and (c) any person in connection with any dealings that either the business or I have or propose to have with ISC.  I agree that ISC may use that information to establish and maintain the relationship that the business and I have with ISC and to offer any services as permitted by law.

By completing this application and by sending it to the ISC, I certify that the statements above are true and complete.

  

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