Personal Financial Statement

Individual Information

Are you a US Citizen?
Are you married?

Spouse Information

Are you a US Citezen?

Employment Information

Are you Employed?
Will employment continue if you get a loan?

Spouse Employment Info.

Are you Employed? (Spouse)
Will employment continue if you get a loan?(Spouse)

Financial Survey

Are you or your spouse presently under indictment, on parole, or probation?
Have you or your spouse ever been charged with, and/or arrested, for any criminal offense other than a minor motor vehicle violation?
Have you or your spouse ever been convicted, placed on pretrial diversion, or placed on any form of probation for a criminal offense other than a minor vehicle violation?
Are you, your spouse, or an affiliate business, involved in any pending lawsuits?
Have you or your spouse ever been involved in bankruptcy or insolvency proceedings?
Are you, your spouse, or any member of your household, an employee of the City of Los Angeles, Small Business Administration, Small Business Advisory Council, SCORE, ACE, any government agency or potential lending institution?
Do you or your spouse own or, have controlling interest, in a business other than the applicant business on this loan request?
Have you or your spouse received any student loans?
Do you or your spouse hold any assets in a trust?
In the past 12 months, have you been, or are currently delinquent or in arrears with your real estate taxes?
Are you now more than 60 days delinquent in child support payments?

Personal Assets

Personal Liabilities