Everything Inc.

LOAN APPLICATION

Loan Application

PERSONAL INFORMATION

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone/Mobile

Social Security

Occupation

BUSINESS INFORMATION

Legal Business Name (if any)

Business Address

Business Registration Number (if any)

Years in Business (if any)

Business Legal Entity type

Request Fund Amount

Repayment Term

Purpose of Requesting for Fund

BANK INFORMATION

Bank Name

Bank Address

Account Name

Account Number

Swift Code

Routing Number

Signature

Sign Here

VERIFICATION AUTHORIZATION

To Whom It May Concern:

The Applicant, Mr./Mrs.

First Name

Last Name

has applied for a loan with the Lender on,

Date

The Lender is hereby authorized to obtain all information that it considers necessary for review of the loan application. The information requested may include credit history and financial information.

In order to assist with this loan request, we ask for your cooperation in providing all requested information in the shortest possible time. Your prompt response will be of assistance in formulating an answer regarding the approval or disapproval of the loan. In exchange, we release you, your officers, directors, employees, and representatives from liability and agree to hold all of the above harmless against any and all claims, liabilities, lawsuits, damages, costs and expenses arising out of your cooperation.

A photocopy of this letter will be treated as an original copy and will provide you with all of the protections of the original.

Thank you for your cooperation.

BORROWER(S)

Signature

Sign Here

Date

TITLE VIII of the CIVIL RIGHTS ACT of 1966 makes discrimination based on race, color, religion, sex, or national origin illegal in connection with the rental of most housing. The Federal agency which administers compliance with this law concerning this company is the Department of Housing & Urban Development located at 1100 Commerce Street, Dallas TX, 75202, and the Department of Housing & Urban Development located at 1371 Peachtree Street N.E., Atlanta GA, 30309.

EQUAL CREDIT OPPORTUNITY ACT: The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of sex or marital status. The Federal agency which administers compliance with concerning this company is the Equal Credit Opportunity, Federal Trade Commission in Washington DC, 20580.