pmc application- may08
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8/14/2019 PMC Application- MAY08
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8/14/2019 PMC Application- MAY08
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PMC Commercial Trust17950 Preston Road, Suite 600 PHONE: 972-349-3200 3200
Dallas, TX 75252 FAX: 972-349-3265 3265
Business/Property NamePhysical Address
APPLICATION PACKETCONSTRUCTION
APPLICATION CHECKLIST
PMC's Credit application, signed and dated
Resume- use the one provided or attach a separate oneLast 3 years personal Tax Returns (TR's) or an extension for most current year if past April 15thIncluding copies of W-2'sBank or brokerage statements to match the Personal Financial statement liquid assetsCopy of driver's licenseCopy of Alien Registration card, front and back
Please also mail originals (including signed personal financial statements) of any application materials
For the business/property, please provide the following:
Business plan to include project cost breakdown & break down of down payment & its source.
(may use the optional form located on the final page for the breakdown)
Please submit copies of all bids and contracts on the following:LandBuildingEquipment (FF&E)Copy of Tax AppraisalCopy of appraisal, if availableCopy of ESA, if availableHow much land does it include?How many square feet will the building be?How many square feet will the business occupy?If you already own the property:
When did you purchase it?
What was the purchase price?Any major improvements ?Description
Pictures of the property, inside and out, and the surrounding area
Loan Fees/Guaranty Fee $Appraisal $Phase I $Title Insurance $
Attorney Fees $Interest Expense $Architect/Engineering $Monitoring Fee $Bonds $Permits $Utility Tape Fee/Impact Fee $Survey $Contingency $Franchise Fee $Inventory $Working Capital $
Total Closing Cost/Working Capital $
www.pmctrust.com
For all partners, owners, or guarantors, please provide the following:
PMC's Original Personal Financial Statement (PFS), signed and dated
that are faxed and retain copies, as we will be unable to return documents once submitted.
SOFT COSTCONSTRUCTION BUDGET
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PMC Commercial Trust17950 Preston Road, Suite 600 PHONE: 972-349-3200
Dallas, TX 75252 FAX: 972-349-3265
Business/Property NamePhysical Address
APPLICATION PACKETREFINANCE
APPLICATION CHECKLIST
PMC's Credit application, signed and dated
Resume- use the one provided or attach a separate oneLast 3 years personal Tax Returns (TR's) or an extension for most current year if past April 15thIncluding copies of W-2'sBank or brokerage statements to match the Personal Financial statement liquid assetsCopy of driver's licenseCopy of Alien Registration card, front and back
Please also mail originals (including signed personal financial statements) of any application materials
For the business/property please include the following:
Project cost breakdown. (may use the optional form located on the final page for this information)
Breakdown of downpayment source, if any.
Copy of all Notes
Last 3 years tax returns for the subject propertyIf tax returns are not available, provide 3 years financial statements. Tax returns are not available because
Year-to-date financial statements within 90 days with comparable period (at least sales) for prior year.
Completed questionnaire (form attached)If the project includes renovations or other improvements please provide a budget with corresponding copies
of all bids and/or contracts
Please attach any leases pertinent to location, equipment, furniture, etc.
Complete the box for all debt and check the one(s) to be refinanced.
To Whom Payable Security
If the collateral includes real estate please provide/complete the following:
Tax appraisalCopy of old appraisal, if available
Copy of ESA, if available
When was the building built?
How much land does it include?How many square feet is in the building?
How many square feet does the business occupy?
When did you purchase the property?
What did you pay for the property?
Any major improvements?
Description of improvements made
Pictures of the property, inside and out, and the surrounding area.
If this is an SBA application complete the following:
Please list the history of business and benefits of the loan (or attach details)
What county is the project located in?
Number of current employees
Number of employees anticipated after the loanPrevious SBA or Government debt for this business or any business owned by the principals
of the applicant or any personal loans such as FHA, VA, Student loans, SBA or B&I:
Name of Agency Current Balance Current or Past Due
www.pmctrust.com
For all partners, owners, or guarantors, please provide the following:
PMC's Original Personal Financial Statement (PFS), signed and dated
that are faxed and retain copies, as we will be unable to return documents once submitted.
OriginalAmount
OriginalDate
PresentBalance
Rate ofInterest
MaturityDate
MonthlyPayment
Current orPast Due
Original Amount ofDebt
Date ofRequest
Approved orDeclined
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PMC Commercial Trust17950 Preston Road, Suite 600 PHONE: 972-349-3200
Dallas, TX 75252 FAX: 972-349-3265
Business/Property Name
Physical Address
APPLICATION PACKET
PMC's Credit application, signed and dated
Resume- use the one provided or attach a separate one
Last 3 years personal Tax Returns (TR's) or an extension for most current year if past April 15th
including copies of W-2's
Bank or brokerage statements to match the Personal Financial statement liquid assets
Copy of driver's license
Copy of Alien Registration card, front and back
For the business/property, please provide the following:
Project cost breakdown (may use the optional form located on the final page for this information)
Breakdown of downpayment source (if any)
Business plan with 3 years' of projections
Projects should include line by assumptions
Personal cash flow (form attached)
Please attach any leases pertinent to location, equipment, furniture, etc.
What county is the project located in?
Number of current employees
Number of employees anticipated after the loan
Previous SBA or Government debt for this business or any business owned by the principals
of the applicant or any personal loans such as FHA, VA, Student loans, SBA or B&I:
Name of Agency Current Balance
If you have construction, renovations, or leasehold improvements please provide copies of bids
and contracts on:
Land
Building
Equipment (FF&E)
Renovations
Leasehold Improvements
If the collateral includes real estate please provide/complete the following:
Tax appraisal
Copy of old appraisal, if available
Copy of ESA, if available
When was the building built?How much land does it include?
How many square feet is in the building?
How many square feet does the business occupy?
If you already own the property:
When did you purchase the property?
What did you pay for the property? $
Any major improvements? $
Description of improvements made
Pictures of the property, inside and out, and the surrounding area.
www.pmctrust.com
STARTUPAPPLICATION CHECKLIST
For all partners, owners, or guarantors, please provide the following:
PMC's Original Personal Financial Statement (PFS), signed and dated
Original Amountof Debt
Date ofRequest
Approved orDeclined
Current orPast Due
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CREDIT APPLICATION
me: Social Security#:
First Middle LastDL#/State
Home Address Yrs. At Home Phone
City/State/Zip Birth Date
Cell Phone Fax Email
Previous Address for
City/State/Zip *Race
US Citizen Yes No If not, Alien Registration # *Place of Birth
Employed by for Yrs. Position
City/State/Zip Employment Phone
Salary Gross: $
Marital Status: Married Unmarried Separated Divorced Number of Children
Spouse's Name Social Security #
First Middle Last Birth Date
US Citizen Yes No If not, Alien Registration # *Place of Birth
Spouses Employer Position for
Gross Salary $ *Race DL#/State
Are you obligated to make Alimony, Child Support:
Are you an existing PMC customer?: (yes) (no) If yes, please note project name:
location: loan number:
Are you a previous PMC customer?: (yes) (no) If yes, please note project name:
location: loan number:
GENERAL INFORMATION
CIRC
Are you or your spouse presently under indictment, on parole or probation? Y
Have you or your spouse ever been arrested, charged, or convicted of any criminal offense other than a minor motor vehicle violation? YAre you a partner, stockholder or officer in any other business venture? YAre you, your spouse or any officer of this business ever been defendant in any legal actions, suits, or bankruptcy? YIs there any company where you have been a director, a principal owner or an officer which has been involved in a bankruptcy, or foreclosure? YHave you ever had any property posted for foreclosure or surrendered to the mortgage holder in lieu of foreclosure? YAre you now or have you ever been past due on any taxes? YIf you have a will, please provide the name of the executor.
*Military History Branch _________________________________________________ Dates Served __________________________________
Applicant represents and certifies the foregoing information and that contained in attached schedules, if any, to be true, correct, and complete and that said
information is submitted to induce the addressee to advance funds to the applicant. Applicant authorizes PMC and/or subsidiaries and affiliates to obtain
a consumer report which may include a criminal background check and other investigations that they deem necessary.
I give permission to PMC Commercial Trust and/or any of its subsidiaries and affiliates to obtain and check my credit history/background. A copy of this fo
shall be construed as the same as an original signature.
Applicant X Date
Spouse X Date
*Note: This information is collected for statistical purposes only and is necessary to document SBA fair-lending practices. It has no bearing on the credit de
to approve or decline this application, but must be completely provided on the loan forms as indicated.
If you answerYES to any of the following please attach an explanation
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PERSONAL FINANCIAL STATEMENT
(CONFIDENTIAL)
Name: Spouse:
Home Address City/State/Zip
To:
ALL BLANKS SHOULD BE COMPLETED (either w/information or "N/A") Revised 7/11/08
ASSETS LIABILITIES & NET WORTH
1. Cash on hand in banks (see schedule 1)
14. Automobile Loans (see schedule 1)
3. IRA's & 401K's (see schedule 3)
4. Notes Receivable - (See schedule 7) 16. Credit Cards
5. Cash Surrender Value Only- Life insurance 17. Heloc
6. Real Estate in Own Name (see schedule 5)
19. Income Taxes Due
8. Automobiles 20. Other Liabilities - Itemize
10. Other Businesses w/o Real Estate
21. Total Liabilities
11. Other
SOURCES OF ANNUAL INCOME SIGNATURES
Salary- yours
Salary- spouse
Commissions and bonuses
Dividends
Real Estate Income
Other Income - Itemize
Date
TOTAL ANNUAL INCOME
(Complete Schedules on Reverse Side) Date
PMC Commercial Trust
and its Subsidiaries,affiliates and/or assigns
The following is submitted for the purpose of procuring, establishing and maintaining credit with you in behalfof the undersigned or persons, firms or corporations in whose behalf the undersigned may either severally orjointly with others execute a guaranty in your favor. The undersigned warrants that this financial statement is
true and correct and that you may consider this statement as continuing to be true and correct until a writtennotice of a change is given to you by the undersigned.
13. Notes Payable, Banks, Unsecured(see schedule 1)
2. Marketable & Govt. Securities(see schedule 2)
15. Loans Against Life Insurance(see schedule 4)
18. Real Estate Mortgages Payable(see
schedule 57. Partial Interest in Real Estate - Net EquityValues (see schedule 6)
9. Furniture and Personal Property(if > $30,000 provide detail)
22. Net WorthTotal Assets less Total Liabilities (12-
20
12. TOTAL ASSETS (1-11)23. Total Liabilities and Net Worth (same as12)
INCOME FROM ALIMONY, SEPARATE MAINTENANCE OR CHILD SUPPORT NEEDNOT BE REVEALED IF YOU DO NOT CHOOSE TO RELY ON IT IN CONNECTION
WITH THIS FINANCIAL STATEMENT I authorize SBA/Lender to make inquiries as necessary to verify the accuracy of thestatements made and to determine my creditworthiness. I certify the above and the
statements contained in the attachments are true and accurate as of the stated date(s). Thesestatements are made for the purpose of either obtaining a loan or guaranteeing a loan. I
understand FALSE statements may result in forfeiture of benefits and possible prosecutionby the U.S. Attorney General (Reference 18 U.S.C. 1001).
(Applicant) X
(Spouse)X
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SUPPLEMENTAL SCHEDULES
SCHEDULE 1 - BANKING RELATIONSHIPS
Name of Bank Location/Acct# Checking Balances Savings Balances Terms o
Total of Checking (+) Savings (Line 1 on PFS) $
SCHEDULE 2 - SECURITIES (GOVT. AND MARKETABLE)
Description Cost Source of Valuation Registered in Name
Total Market Value (Line 2 on PFS) $
SCHEDULE 3 - IRA's / 401K's
Description Total Value
Total IRA/401K (Line 3 on PFS) $
Face Value Owner of Policy Name of Beneficiary
Total Cash Surrender Value (Line 5 on PFS) $
Total Policy Loans (Line 15 on PFS) $
SCHEDULE 5 - REAL ESTATE IN OWN NAME
Date Acquired Mortgage Balance Rate Term
Total Market Value (Line 6 on PFS) $
Total Mortgage Balance (Line 18 on PFS) $
SCHEDULE 6 - PARTIAL INTERESTS IN REAL ESTATE - NET EQUITY VALUES
Property Description Total Cost Date Acquired Rate
LoanBalance
No. Shares of FaceValue
MarketValue
SCHEDULE 4 - LIFE INSURANCE COVERAGE
Insurance
Company
Total CashSurrender Value
PolicyL
Description IncludingLocation or Address
Cost ofImprovements
OriginalCost
MarketValue
ARM/Balloon
Business Name&
Address
% of Ownership
C
Market ValueA
Mortgage BalanceB
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RESUME
Name:
First Middle Last
Home Address:Street Address City State Zip
EDUCATION
High School Grade Completed
College or Technical Training. Name and Location Dates Attended From/To Major, Degree or Certificat
WORK EXPERIENCE
to Present:Month/Year
Company Name
Address:Job Title:
Job Description:
to :
Month/Year
Company Name
Address:
Job Title:
Job Description:
to :
Month/Year
Company NameAddress:
Job Title:
Job Description:
to :
Month/Year
Company Name
Address:
Job Title:
Job Description:
to :
Month/Year
Company Name
Address:
Job Title:
Job Description:
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AFFILIATE FORM
Please make copies if there are more than two businesses in which you are affiliated.
For any other business that you own or partially own, please provide the following information on eachbusiness*
AFFILIATE # 1 AFFILIATE # 2
1 Corporate Name (if any)
2 Name of Business
3 Type of Business
4 City/State
5 Tax Returns for the LastTwo Years Attached? Yes No Yes No
6 Latest Interim FinancialStatement (IncludingBalance Sheet) Attached? Yes No Yes No
7 Percentage of Ownership
8 Date Acquired
9 Cost (of 100%)
10 Loan Balance (of 100%)
11 Lender Name
12 Monthly Debt Service
13 Term
14 Rate
15 Number of Rooms (if applicable)
16 Has this business ever appliedfor or had an SBA loan? Yes No Yes No
If so
What is outstanding balance?
Paid as agreed?
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ESTIMATED PROJECT COST
PROJECT NAME
TOTAL PROJECT COST
(Please attach breakdown I.e., land, building, equipment, inventory,
working capital, etc.)
YOUR CAPITAL INJECTION
(Minimum 20-30% of the above total project cost)
SOURCE OF INJECTION
ACTUAL LOAN AMOUNT
(Total project cost minus capital injection)
ADDITIONAL COLLATERAL TO BE PLEDGED*
(Minimum 50% of the above actual loan amount)
PROJECT LOCATION
REFERRED TO PMC COMMERCIAL TRUST BY
* Additional collateral is required on any leasehold project where real estate is not a part of the business collateral. This includes items
such as CD's, stocks, bonds, notes receivable secured by real estate, extra guarantors, and any combination of the above. Inventory,
furniture, fixtures, or equipment in the business will be collateral for the loan, but are not considered additional collateral.
EQUITY INJECTION
Cash in Accounts
Sale of Securities
Sale of Assets
Funds from Family
Business Assets
Other:
TOTAL EQUITY INJECTION
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To assist PMC in evaluating your financing proposal, we require the following information
STORE INFORMATION
When was property builtNumber of MPDs (Multi product dispensers/pumps):Acreage Size of building sq. ft.Car wash Yes NoRestaurants Yes No Restaurant or Car Wash Details
Exterior Construction Brick Concrete Block PrefabStucco Other
Roofing Shingle Metal Tile FlatPitched
Age of RoofParking Lot Concrete Asphalt Number of SpacesAre there any drainage problems? Yes NoIf yes, please explain:
LOCATION
Nearby highwaysDescription of street in front of property
One way street Yes NoHow many lanesDirect access Yes NoTurning lane Yes NoSpeed LimitAny construction being performed on this road now or being planned in the future?
Yes NoIf yes, to what degree
COMPETITORS
Name Restaurant
Are you aware of any to-be-completed stores which will compete with this store?
GAS & SERVICE STATIONCONVENIENCE STORE
QUESTIONNAIRE
Important: Please provide pictures of the property, both inside and out, and the surrounding area.
Age ofProperty
per
CarWash
DistanceAway
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Yes No If yes, please describe
RESTAURANTS
Name Distance Away
Describe in detail other businesses/traffic generators in the area
Are there any adult entertainment businesses nearby? Yes NoIf yes, please detail
In detail, please draw a map of the area indicating property, nearby highways, competitors, access toproperty, etc. (see example)
GAS EQUIPMENT
Does your county require vapor recovery systems Yes NoDoes the property have a vapor recovery system Yes NoWhen were the tanks and lines installed?Tanks and lines are (check one)
Steel with cathodic protectionSteel with fiberglass lining (compositeFiberglass
How many tanks are there? Capacity: Gallons:Does the property have monitoring wells?(Required on all tanks installed after 1990)The monitoring wells are for: Observation only (or)
Monitoring a recorded spillExplain further in Environmental section
How is leak detection done:automatic methodStatistical Inventory Reconciliation
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Does the property have spill/overflow reservoirs? Yes No(Required)
ENVIRONMENTAL ISSUES
Are there any known or suspected environmental problem areas on the property?Yes No
(If yes, complete the appropriate section below.)
RemediationHas remediation been recommended or started? Yes No
If yes, when was it started?What is the cost of the remediation?Who will pay for it?How long will it takeWill the station close during the remediation?
Monitoring of prior spill:Please provide copies of the monitoring reports.Has the state indicated how soon a no further action letter would be granted?
Prior spill has been cleaned up and a no further action letter has been granted.Please provide a copy of the letter.
Do you plan to replace the tanks as a part of this financing? If so, we require as a general rule that theexcavation be done and samples taken and checked prior to closing.
Is this possible?
BRANDING
What brand is/or will be the station?
Please provide the agreements already signed or to be signed with the jobber.
Will the jobber be paying for imaging/branding? Yes NoHow much will the jobber be paying for imaging/branding? $What exactly is he providing?Will he have a lien on those items? Yes NoHow is to be paid back, if that is the case?
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HOTEL QUESTIONNAIRE
To assist PMC in evaluating your financing proposal, we require the following information
HOTEL LOCATION
Property Name
Physical Address City State Zip
Nearby Highways Exit# Distance from property
Street in front of property:
Is the street one way? Yes No How many lanes?
Direct access to hotel? Yes No Turning lane? Yes No
What is the speed limit?
Hotel traffic:
Local % Destination %
Transient % Tourist %
Any construction being performed on this road now or being planned in the future? Yes No
If so, to what degree?
Are there any drainage problems? Yes No If so, please explain
HOTEL INFORMATION
Total number of rooms Number of buildings Number of stories
Number of Singles Size of rooms ' x '
Number of Kings Size of rooms ' x '
Numbers of Doubles Size of rooms ' x 'Number of Suites Size of rooms ' x '
Number of Handicapped Size of rooms ' x '
Number of weeklies Weekly Rate
Rooms out of service (Attach list of repairs needed to reopen these rooms)
ADR for the past 12 months (if applicable) $ Occupancy %
History of the property for the past five years (franchise or independent)
If the property is a franchise, what is the franchise term?
Total square footage of the land? Leased? Yes No
If yes, attach copy of lease.Was the building constructed prior to January 1, 1981? Yes No If yes, has the building been
tested for Asbestos containing materials (ACM), lead-based paint, or lead in the drinking water?
Yes No Describe or attach ESA
Are there any known or suspected environmental problems with the areas on the property?
(i.e. asbestos or underground gasoline storage tanks) Yes No If yes, please explain
Are any operational and maintenance plans (O&M plans) in effect for the facility? Yes No
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CONSTRUCTION
Exterior: Brick Prefab Stucco Other
Building 1
Building 2
Building 3
Building 4
Roofing: Shingle Metal Tile Flat Pitched Age of roof
Building 1
Building 2
Building 3
Building 4
Parking lot:
Concrete Asphalt Number of spaces
Describe condition
Interior: Interior corridor Exterior corridor Elevators
Building 1 Yes No
Building 2 Yes No
Building 3 Yes No
Building 4 Yes No
Number of meeting or banquet rooms _________ Description and capacity
Swimming pool Yes No Indoor/Outdoor Truck Parking Yes No
Restaurant Yes No If yes, is it Leased Closed Owner operated
Description and capacity Terms
What is included
Lounge Yes No If yes, is it Leased Closed Owner operated
Description and capacity Terms
What is included
Televisions
No. of units
Brand name
Age
Remote Yes No Yes No Yes No
HVAC: Central ________ Individual units_______
No. of units
Brand name
Age
ConcreteBlock
YearConstructed
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Property Name/Location Date
Bathroom description (i.e.: flooring, tubs, ceilings, etc.)
Reservation system description
Other computer system description
Telephone system description
Furniture/Fixtures description and condition
Age of furnishings? Age of fixtures?
LEASES
If any of the following items are leased or to be leased in the next 12 months, mark below and attach copiesof the leases.
Televisions Reservation system
Telephones Signs
Phone System Furniture
Date and summary scope of last renovation
LOCATION
Competitors
Name Rooms ADR Occupancy
1
2
3
4
5
6
If you are aware of any to-be-completed properties which will compete with this propert Yes No
Restaurants: Gas Stations:
Name Name
1 1
2 2
3 3
4 4
PropertyAge
DistanceAway
DistanceAway
DistanceAway
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Describe in detail other businesses/traffic generators in the area
Are there any adult entertainment businesses nearby? Yes NoIf yes, please detail
In detail, please draw a map of the area indicating property, nearby highways, competitors, access to
property, etc. (see example)
ITEMS TO ATTACH
Pictures of the property including:
1 Outside- All sides 6 Pool area
2 Rooms- All types 7 View on street facing across street
3 Bath area 8 View on street facing right
4 Hallways 9 View on street facing left
5 Lobby 10 View of property from highway
Recent appraisals (if available)
Last franchise inspection report
Signature
Date
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