Individuals who will own 20% or more of the business must fill-out: Personal Income and Expense, Personal Financial Statement, Management Resume, Personal History Form and Authorization to Release Information.

Thank you for your interest. The attached document is our SBA application in word format. If you have

Microsoft Word 2000, you should be able to open the document. In all cases we will need the following documents filled out.

SBA APPLICATION

INSTRUCTIONS:

The Loan Request Form: If you have not legally established or incorporated your company name, please provide your preferred company name and indicate (proposed), if you will be trading under a different name list your dba/ _______________ (doing business as). Bank information is for personal as well as business accounts. Accountant and attorney should be listed if you have one. Trade references only apply if you already own the business and seeking an expansion loan.

Project Cost Estimates: We will complete this form, but if you have a detailed breakout of costs please attach or include.

Source of Capital Injection: We need to know the sources for you to make the down payment. Copies of Bank or Financial Statements should be included.

Borrowers Authorization To Release Information: Needs to be signed and dated by all partners who will own 20% or more of the newly started or acquired business.

Personal Income and Expense: List your expected income after the acquisition or start-up of the business should include spouse’s income (if married). Expenses should be realistically portrayed and adjusted to the living situation and/or personal expenses you will have after the purchase or opening the business. Numbers should be annualized (one year totals).

Personal Financial Statement: Updated information needed for your PFS. Most commonly omitted is Section 2 (notes payable). This section refers to: Auto loans, credit cards, and personal bank loans. Omit credit cards or debt where the balance is paid off monthly. Section 5 refers to personal property like furniture, jewelry, household items and valuable collections, please list general categories with $ amounts. Section 4 should include all personal properties including home, vacation home, rental home, land and home equity loans (detailed information must be provided).

Management Resume: Basic Information and dates need to be filled out, but you can attach a resume if you have one. You must respond to the US citizen question or alien registration #. If you are not a US Citizen, but have permanent status in the US recognized by the INS (Immigration Naturalization Service), you can qualify. Copy of your alien registration card or green card (both sides) should be included in the application.

4506 –Request For Copy or Transcript of Tax Forms – Just fill-out 1(a) and 1(b) and 2(a) and 2(b) if married and filing jointly and sign and date it at the bottom of the page. You need to include 3 years of personal tax returns with your application.

Personal History: Fill-out 1-9. Must answer truthfully questions 6-8. If you answer “yes” to any of these, you should include an explanation of circumstances, charges and outcome.

Other documents: Required Include: 3 years personal tax returns, articles of incorporation (if incorporated), last years W-2 or 1099 form, and green card or alien registration card (if not a US citizen).

For Business Acquisition: Start-Up or Acquisition of Franchise

3 Years Corporate Tax Returns Total Investment Required (Start-Up Franchise)

Purchase Agreement Purchase Agreement (If purchasing franchise)

Description of Business (Brochures) UFOC (For franchises only, and if you have a copy)

Office Lease Draft or Final Office Lease (If Available)

Financial Statement, P&L, Balance Sheet, Business Plan (for independently run start-up businesses)

(should be no older than 45 days) Business Plan (for start-up franchise if one available)

If you need assistance on developing a business plan, visit us at: www.diamondfs.com or www.easysba.com

To complete the application: After filling out the information (preferably on your computer), please email it back to us at DonJ@easysba.com or print out the total application and fax it to us at (732) 495-7058. Please remember to mail our processing fee of $250 (Payable to Diamond Financial Services) when sending in your initial application package. We will review the application and send an original to you for your signatures. Then return the application and all supporting document to:

Diamond Financial

262 Highway 36

West Keansburg, NJ 07734

Should you have any questions call us at our toll free number: (877) 508-2274

Or call for the Diamond Financial Office nearest you!

SBA LOAN APPLICATION CHECKLIST

(FRANCHISE START-UP)

This checklist has been provided to assist you through the process of gathering the necessary information of the initial evaluation of your loan request. Complete information will be necessary to process your application. All forms are provided herein unless noted. Please be advised that all financial statements and tax returns must have original signatures and dates. After photocopying, please sign again and affix current date.

1. SBA LOAN APPLICATION

2. CURRENT PERSONAL FINANCIAL STATEMENTS – Copies of last three months bank, IRA, Stock and Investment statements.

3. FORM 4506 – REQUEST FOR COPY OR TRANSCRIPT OF TAX RETURN – A form must be completed for all individuals with ownership of 20% or more of stock issued, partners, and/or guarantors of the proposed loan. A form must also be completed for the borrowing entity, if other than a sole proprietorship.

4. PERSONAL TAX RETURNS AND W-2’S – Complete federal and state, if applicable, tax returns for the past three years. (Copy and Sign)

5. BUSINESS FINANCIAL STATEMENTS AND TAX RETURNS – Income statements, balance sheets,

and federal tax returns for three prior year-end time periods.

6. INTERIM BUSINESS FINANCIAL STATEMENT – Income statement and balance sheet dated no older than 45 days.

7. AGING OF RECIEVABLES/PAYABLES – Balanced to interim financial statement.

8. BUSINESS PLAN – Must be provided on all start-up businesses and expansions.

9. AUTHORIZATION TO RELEASE INFORMATION – Needs to be signed and dated by all proprietors,

officers, guarantors, and stockholders or partners with 20% or more of stock issued.

10. PROJECTED MONTHLY CASH FLOW FOR ONE YEAR. Must be supplied for new

businesses, business acquisitions, or if majority of funds are for Working Capital.

11. COPY OF FRANCHISE AGREEMENT AND UFOC DISCLOSURE

12. ARTICLES OF INCORPORATION AND BY-LAWS/ARTICLES OF ORGANIZATION

13. MORTGAGE STATEMENT(S) – On all existing liens for properties being pledged as collateral. – Warranty Deed(s).

14. COPY OF LEASE OR PROPOSED LEASE – If leasing commercial property.

15. PHOTOS OF EXISTING PROPERTY – (inside, outside and parking)

16. ESTIMATED COST OF CONSTRUCTION – If applicable, supported by bids.

17. LIST OF EQUIPMENT/MACHINERY TO BE PURCHASED – Include description of equipment/machinery and bids.

18. DEMOGRAPHICS – (Store Location)

19. PROCESSING FEE - $250.00 fee payable to Diamond Financial Services

SMALL BUSINESS ADMINISTRATION

FOR OFFICE USE ONLY

SOURCE CODE :

LOAN REQUEST FORM

APPLICANT COMPANY				Fax #
	Company Name			Telephone
	Address		City		ST		Zip
	Contact			Tax ID#
	Type of Business			Date Established
	Type of Entity:	Corporation Partnership		Sole Proprietorship LLC
	Number of Employees: Existing			After This Loan
	Bank Contact			Telephone
	Account #			Acc. Type		Bus Personal
	Bank Contact			Telephone
	Account #			Acc. Type		Bus Personal
	Bank Contact			Telephone
	Account #			Acc. Type		Bus Personal

Professional References

Accountant Name	Telephone
Attorney Name	Telephone

Trade References

Trade Reference	Telephone
Trade Reference	Telephone

OWNERSHIP OF APPLICANT COMPANY

List below all officers, directors, partners, owners & co-owners, and all stockholders with 20% or more of total stock issued.

NAME

TITLE

% OF OWNERSHIP

ANNUAL COMPENSATION

AFFILIATES

List below all business concerns in which the applicant company or any of the individuals listed in the ownership section above have any ownership.

COMPANY NAME

OWNER (APPLICANT COMPANY OR INDIVIDUALS)

% OF OWNERSHIP

ESTIMATED PROJECT COSTS

Land acquisition
New building construction / renovations
Construction Contingency
Land and Building Acquisition
Building Improvements / Repairs
Accounts Receivable
Acquisition of Furniture / Fixtures
Acquisition of Machinery / Equipment
Acquisition of Existing Business
Inventory Purchase
Working capital (include AP & soft costs)
Payoff bank loan (non-SBA associated)
Payoff other debt
Estimated Closing Costs
Construction Loan Fees
Construction Loan Interest
Survey Fees
Legal Fees
Franchise Fees
SBA Guarantee Fee
Lender Fees
Other Misc. Costs
TOTAL ESTIMATED PROJECT AMOUNT	$0.00
MINUS OWNERS EQUITY FOR PROJECT	( )
MINUS OTHER FINANCING FOR PROJECT	( )
TOTAL ESTIMATED LOAN AMOUNT	$0.00

Explanation of other financing:

SOURCE OF CAPITAL INJECTION

SOURCE OF FUNDS			AMOUNT OF FUNDS
1. Cash on Hand
2. Cash in Checking Account
Name:
Bank:
Acct#:
3. Cash in Savings Account
Name:
Bank:
Acct#:
4. Sale of Investments
Details:
5. Finance obtained by additional mortgage on personal real estate
Details:
6. Sale of Asset
Details:
7. Business Assets (already obtained) being transferred to this business
Details:
8. Gift from Family Member
Details:
9. Injection from minority partners
Details:
10. Other
Details:
11. Other:
Details:
	TOTAL CAPITAL INVESTMENT		$0.00
Other information about source of funds:
Signature		Title		Date:

PERSONAL INCOME AND EXPENSE ANALYSIS

Name(s)
Source of Income	Annually
Gross Salary – Principal
Spouse
Other income:
Rental
Interest
Dividend
Other:
Total Income	$0.00
Expenses
Mortgage – Personal Residence (PITI)
Rental Property (PITI)
Alimony
Automobile Loans
Child Care
Credit Card Expenses (5% of credit balances)
Educational Expenses
Income Taxes (Based on highest amount of past 3 years)
Installment Loans
Insurance (Medical/Life)
Miscellaneous (minimum 10% of total income)
Personal Expenses
Property Taxes (If not included in mortgage payment(s))
Rental Property Expenses
Utilities (including telephone and cable)
Other Expenses
Total Expenses	$0.00
Net Discretionary Income (Income minus Expenses)	$0.00
Coverage Ratio (Income/Expenses)

Signature_________________________________________________________Date___________________

PERSONAL FINANCIAL STATEMENT

OMB Approval No. 3245-0188
U.S SMALL BUSINESS ADMINISTRATION				As of
Complete this form for: (1) each proprietor, or (2) each limited partner who owns 20% or more interest and each general partner, or (3) each stockholder owning 20% or more of voting stock or (4) any other person or entity providing a guaranty on the loan.
Name			Business Phone
Residence Address			Residence Phone
City, State, & Zip Code
Business Name of Applicant Borrower
Assets	(Omit Cents)	Liabilities			(Omit Cents)
Cash on hand & in Banks . . . . . . . . . . . .		Accounts Payable . . . . . . . . . . . . .
Savings Account . . . . . . . . . . . . . . . . . .		Notes Payable to Banks and Others
IRA or Other Retirement Account . . . . .		(Describe in Section 2)
Accounts & Notes Receivable . . . . . . . .		Installment Account (Auto) . . . . . . Mo. Payments
Life Insurance-Cash Surrender Value Only (Complete in Section 8)		Installment Account (other) . . . . . . Mo. Payments
Stocks and Bonds . . . . . . . . . . . . . . . . . . (Describe in section 3)