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firsttechfed.com | 855.855.

8805
PO Box 2100 Beaverton, OR 97075-2100

Member Business Loan Application

Borrowing Intent: To be completed if borrower(s) are individuals


Borrowing intent should be evidenced when each individual is applying with the applicant for shared or joint credit (e.g., individual is a co-
borrower with a business or two individuals are borrowing together). This intent is not completed for guarantors.

Please Check One:

c Individual Credit: Relying solely on my income


c Joint Credit: We intent to apply for joint credit. Initials:

Borrowing Entity Information

Complete Legal Name of Business and/or Borrower DBA NAICS Code* Federal Tax ID Number

* North American Industry Classification System (NAICS) is the standard used by Federal Statistic Agencies to classify business establishments. It appears on your Federal Tax return or
Schedule C.

Business Address: Street City State Zip Business Phone Number

Mailing Address: Street City State Zip Business Fax Number

Date Business Established State Business Established Type of Business Website Address

Business Contact Name Contact Email Address Contact Phone Number Number of Employees

Legal Entity:
c Individual c General Partnership c Professional Corporation c Profit C-Corporation
c Sole Proprietorship c Limited Partnership c Limited Liability Corporation c Profit S-Corporation
c Trust c Limited Liability Partnership c Professional Limited Liability c Non-Profit Corporation
c Joint Venture Corp c Other, Please Specify

If type of organization is an Individual, a Sole Proprietorship, or a Trust, please provide the name(s) and address(s) of owner(s) primary
residence:

Location of Account Books and Financial Records Please Attach Copies of (if applicable):
c Same as applicant’s street address c For Corporations, Articles of Incorporation
c Different address (Please Specify): c Limited Liability Corporation’s Operating Agreement
c Partnership Agreement
c For Limited Liability Corporation, the equivalent certificate
Gross Annual Revenues (in previous fiscal year): c Over $1 million c Under $1 Million

Additional Borrower Information

Co-Borrower #1: Co-Borrower #2:


Name Name
Address Address
DOB DOB
SSN/TIN SSN/TIN
Phone Phone

F-00037 181219 Revised: 01.07.2022 1 of 5
firsttechfed.com | 855.855.8805
PO Box 2100 Beaverton, OR 97075-2100

Member Business Loan Application

Loan Request

Purpose c Real Estate - Purchase c Equipment Amount Requested:


c Real Estate - Refinance c Line of Credit:
c Real Estate - Refinance Cash-Out c Other: $
Interest Rate c Fixed
c Variable
c No Preference
Term (in months)

Proposed Repayment Schedule

c Installment Payments c Seasonal Payments c Non-Revolving Line of Credit


c Single Payment c Step-Up Payments (Small to Large) c Revolving Line of Credit
c Interest Only with Balloon Pmt. c Step-Down Payments (Large to Small) c Other, Please Specify:
c Installment Pmts. with a Balloon Payment

Type of Collateral

Titled
c Automobile c Van c Short-Haul Truck c Long-Haul Truck
c Trailer c Other:

Possessory
c Share Savings/CDs c Stocks and/or Bonds c Notes/Instruments/Chattel Paper c Warehouse Receipt/Bill of
c Letter of Credit c Life Insurance c Other Pledged Collateral Lading

UCC Collateral
c Other UCC Collateral c Account Receivable c Inventory c Chattel Paper
c Equipment c General Intangibles c Fixtures c Wraparound UCC Filing on All
Business
Real Estate
c Commercial–Owner Occupied c Commercial–Non-Owner c Income Property–Commercial c Income Property–Retail
c Income Property–Residential Occupied c Vacation Home c Condominium
c Primary Residence c Other Real Estate

Notices and Disclosures


• Credit Authorization: I/We authorize First Technology Federal Credit Union (“Lender”) to obtain a consumer report and to obtain and exchange
information from, and with, other credit grantors and consumer reporting agencies. I/We authorize Lender to retain all information and reports
for the Lender’s files.
• USA PATRIOT Act Notice: To help the U.S. government fight the funding of terrorism and money laundering activities, Federal law requires all
financial institutions to obtain, verify and record information that identifies each Borrower that opens an account. What this means: when a
Borrower opens an account, Lender will ask for the business name, business address, taxpayer identifying number and other information that will
allow Lender to identify the Borrower, such as organizational documents. For some businesses and organizations, Lender may also need to
ask for identifying information and documentation relating to certain individuals associated with the business or organization, including the
individuals name, address, date of birth and other information that will help Lender identify such person. Lender may also ask to see such
person’s driver’s license or other official documents to identify such person.
• True and Correct: I/We certify that all statements made in this application are true and correct and that I/We have withheld nothing that would, if
disclosed, unfavorably affect this application. The furnishing of false information for the purpose of influencing the Lender’s loan decision may
violate Federal Criminal laws and may subject the violator to fine, imprisonment, or both.

F-00037 181219 Revised: 01.07.2022 2 of 5
firsttechfed.com | 855.855.8805
PO Box 2100 Beaverton, OR 97075-2100

Member Business Loan Application

• For Loans Secured by a First Lien on a Dwelling: We may order an appraisal or valuation to determine the property’s value and charge you
for this appraisal or valuation. We will provide you copies of the appraisal or valuation promptly upon completed or at least three (3) days
prior to closing, whichever is earlier. You may waive this 3-day timeframe by checking this box: c . If you waive this timing requirement, we
will provide you copies of your appraisal or valuation at closing. We will promptly give you a copy of any appraisal or valuation even if your
loan does not close. You can pay for an additional appraisal for your own use at your own cost.
• Credit Denial Notice: If your gross revenues were $1,000,000 or less in your previous fiscal year, or you are requesting trade credit, a
factoring agreement, or similar types of business credit in this Commercial Loan Application, and if your application for credit is denied, you
have the right to a written statement of the specific reasons for denial. To obtain this statement, please contact [ATTN: Commercial Lending,
5100 NE Dawson Creek Drive, Hillsboro, OR 97124-5704] within 60 days of the date you were denied. We will send you a written statement
of reasons for the denial within 30 days of receiving your request.

General Information

Has the business, owners or related entities ever filed for bankruptcy? c  Yes c  No

Has the business, owners or related entities had a license or ability to do business restricted, suspended, or
c  Yes c  No
revoked?
Have any of the owners or related entities surrendered a property, had a short-sale, deed in lieu of foreclosure,
c  Yes c  No
or a foreclosure?

Have any of the owners guaranteed or endorsed any notes of another individual or business? c  Yes c  No

Do any of the owners or related entities have judgments, suits, or other pending legal actions outstanding? c  Yes c  No

Are the officers or owners of the business active officers or owners of any other business? c  Yes c  No

Are any of the owners’ assets held in a trust? c  Yes c  No

Does the business owe taxes for years other that the current year? c  Yes c  No

Is the business in compliance with all applicable federal, state and/or local regulations? c  Yes c  No

Is the business an endorser, guarantor, or co-maker for obligations not listed on it financial statements? c  Yes c  No

If you answered “Yes” to any of the questions above, please attach an explanation.

If your property is located in the states of California, Oregon or Washington, would you like to be contacted
c  Yes c  No
with an insurance quote?

Proposed Guarantor(s)

Guarantor Address Relationship SSN or TIN/EIN if Entity

Attached Not Please Attach Copies of Date(s) or Period(s) Ending


Attached
c c Individual Financial Statement(s)
c c Federal Tax Return(s)
c c Share Account Statement(s)

F-00037 181219 Revised: 10.18.2018 3 of 5
firsttechfed.com | 855.855.8805
PO Box 2100 Beaverton, OR 97075-2100

Member Business Loan Application

Applicant Signatures and Important Disclosures


Each of the undersigned specifically represents to Lender and to Lender’s actual or potential agents, brokers, processors, attorneys, insurers,
servicers, successors, and assigns and agrees and acknowledges that: (1) the information provided in this application is true and correct as of
the date set forth opposite my signature and that any intentional or negligent misrepresentation of this information contained in this application
may result in civil liability, including monetary damages, to any person who may suffer any loss due to reliance upon any misrepresentation that I
have made on this application, and/or in criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title
18, United States Code, Sec. 1001, et seq.; (2) the loan requested pursuant to this application (“Loan”) may be secured by a mortgage or deed
of trust on the property described in this application; (3) any collateral for Loan will not be used for any illegal or prohibited purpose or use; (4)
all statements made in this application are made for the purpose of obtaining a Member Business loan; (5) if real estate is used as collateral for
Loan the property will be occupied as indicated in this application or as elsewhere indicated in the documents completed at or prior to closing;
(6) Lender, its servicers, successors, or assigns may retain the original and/or an electronic record of this application, whether or not the Loan is
approved; (7) Lender and its agents, brokers, insurers, servicers, successors, and assigns may continuously rely on the information contained
in the application and I am obligated to amend and/or supplement the information provided in this application if any of the material facts that
I have represented herein should change prior to closing of the Loan; (8) in the event that my payments on the Loan become delinquent,
Lender, its servicers, successors, or assigns may, in addition to any other rights and remedies that it may have relating to such delinquency,
report my name and account information to one or more consumer reporting agencies; (9) ownership of the Loan and/or administration of the
Loan account may be transferred with such notice as may be required by law; (10) neither Lender nor its agents, brokers, insurers, servicers,
successors, or assigns has made any representation or warranty, express or implied, to me regarding the property or the condition or value of
the property; (11) my transmission of this application as an “electronic record” containing my “electronic signature,” as those terms are defined
in applicable federal and/or state laws (excluding audio and video recordings), or my facsimile transmission of this application containing a
facsimile of my signature, shall be as effective, enforceable, and valid as if a paper version of this application were delivered containing my
original written signature; and (12) I have authority to act on behalf of any legal entities on whose behalf I sign.

Acknowledgement: Each of the undersigned hereby acknowledges that any owner of the Loan, its servicers, successors, and assigns
may verify or recertify any information contained in this application or obtain any information or data relating to the Loan, for any legitimate
business purpose through any source, including a source named in this application or a consumer reporting agency.

Signature(s)

Signature Printed Name & Title Date


c Borrower
c Co-Borrower
c Guarantor

Signature Printed Name & Title Date


c Borrower
c Co-Borrower
c Guarantor

Signature Printed Name & Title Date


c Borrower
c Co-Borrower
c Guarantor

Signature Printed Name & Title Date


c Borrower
c Co-Borrower
c Guarantor

F-00037 181219 Revised: 01.07.2022 4 of 5
firsttechfed.com | 855.855.8805
PO Box 2100 Beaverton, OR 97075-2100

Member Business Loan Application

Demographic Information Addendum

To be filled out if you are individual borrower(s) and if loan purpose is Purchase, Refinance, or Improvement ONLY
Note: This includes commercial loans for the purpose of purchasing 1–4 family rentals or investment property, multi-family property,
apartment, condos, townhomes, etc. and the refinance or improvement of properties. NOT REQUIRED for ENTITIES.

Do Not Complete this form if the borrower is a legal entity, example: LLC, Corporation etc.
DO NOT COLLECT if purpose does not meet one of the above listed reasons.

The following information is required by the Federal government for certain types of loans related to a dwelling in order to monitor the lender’s
compliance with equal credit opportunity, fair housing and home mortgage disclosure laws. You are not required to furnish this information but
are encouraged to do so. The law provides that a lender may neither discriminate on the basis of this information, nor on whether you choose to
furnish it. If you furnish the information, please provide both ethnicity and race. You may select more than one designation. If you choose not to
furnish this information and you have made this application in person, under Federal regulations, the Lender is required to note race or national
origin and sex on the basis of visual observation or surname. Based upon your choice, please complete the information below.

Borrower Co-Borrower
c Not applicable; not a natural person c Not applicable; not a natural person
c No co-borrower
Ethnicity Ethnicity
c Hispanic or Latino c Hispanic or Latino
c Mexican c Mexican
c Puerto Rican c Puerto Rican
c Cuban c Cuban
c Other Hispanic of Latino: c Other Hispanic of Latino:
c Not Hispanic or Latino c Not Hispanic or Latino
c I do not wish to furnish this information c I do not wish to furnish this information
Race Race
c American Indian or Alaska Native c American Indian or Alaska Native
Name of enrolled or principal tribe: Name of enrolled or principal tribe:
c Asian c Asian
c Asian Indian c Asian Indian
c Chinese c Chinese
c Japanese c Japanese
c Korean c Korean
c Filipino c Filipino
c Vietnamese c Vietnamese
c Other Asian: c Other Asian:
c Black or African American c Black or African American
c Native Hawaiian or Other Pacific Islander c Native Hawaiian or Other Pacific Islander
c Native Hawaiian c Native Hawaiian
c Samoan c Samoan
c Guamanian or Chamorro c Guamanian or Chamorro
c Other Pacific Islander: c Other Pacific Islander:
c White c White
c I do not wish to furnish this information c I do not wish to furnish this information
Sex Sex
c Male c Male
c Female c Female
c I do not wish to furnish this information c I do not wish to furnish this information

F-00037 181219 Revised: 01.07.2022 5 of 5

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