Business Loan Application 

With low fees and money to lend, Northwest Federal can help your business thrive.  Apply for a business loan by completing the application below.  For business credit cards and vehicle loans, please apply using the Quick Links to the right.

Loan Type:
Specifics of Loan Request
Amount of Request:
Term (No. Months) Requested:
Business Member Account Number:     
Purpose/Use of Funds:  
Collateral:  
Company Information
Business Name:
DBA Name:
Street Address:
City, State, Zip Code:
County:
Telephone Number:
Fax Number:
Website Address:
Email Address:
Legal Status:
State of Incorporation/Organization:
Nature of Business:  
Tax I.D. Number:
Date Business Established:
Present Management Since:
# of Locations:
# of Employees:
Company Financial Information 
Most Recent Year's Tax Return:
Gross Revenue:
Ordinary Business Income (Loss):
Depreciation Expense:
Interest Expense:
Officer's Compensation:
Total Assets:
Total Liabilities:
Net Worth/Equity:
Miscellaneous Information 
Has the business or any principal/owner ever declared bankruptcy?
Is the business or any principal/owner a party to any tax lien or lawsuit?
Has the business incurred a loss in any of the past 3 years?
Are there any delinquent State or Federal taxes owed by the business?
Is the business for sale or under agreement that would change the ownership of the business?
Has the business changed names in the past 5 years?
Are any of the business assets pledged as collateral for any loan?
Has the business or principal/owner ever settled a debt for less than the amount owed?
If you answered yes to any of the above questions, please provide details in the Comments Section at the end of the application
Are all principals/owners US citizens? (If not, please provide us with the number and a copy of your alien registration card)

Owner/Guarantor Information #1
(for all principals with 20% or greater ownership interest)
Name (First, MI, Last):     
Title:
% Ownership:
Date of Birth:
Social Security Number:
Email Address:
Home Telephone:
Cell Phone:
Street Address:
City, State, Zip Code:
Other Information:  
Owner/Guarantor Information #2
(for all principals with 20% or greater ownership interest) 
Name (First, MI, Last):     
Title:
% Ownership:
Date of Birth:
Social Security Number:
Email Address:
Home Telephone:
Cell Phone:
Street Address:
City, State, Zip Code:
Other Information:  
Comments  
Signature & Disclosure

By submitting this application, I agree that I have read the Terms & Conditions.

Applicant Name:    
Applicant Title: