Loan Application

LandLine Loan Application

Name of Borrower:

Federal Tax ID Number:

Street:

City:

State:

Zip:

Phone Number:

Fax Number:

Name of Guarantor(s):

Social Security Number(s):

Street:

City:

State:

Zip:

Size of Line of Credit Requested:

Borrower's Net Worth:

Guarantor(s) Net Worth:

Yes	No	Have any Federal tax liens ever been filed against the Borrower or any of the guarantors? (If yes, please attach an explanation.)
Yes	No	Are there any outstanding judgements against the Borrower or any of the guarantors? (If yes, please attach an explanation.)
Yes	No	Has the Borrower or any of the guarantors been declared bankrupt within the past 7 years? (If yes, please attach an explanation.)
Yes	No	Is the Borrower or any of the guarantors currently a party to a lawsuit? (If yes, please attach an explanation.)
Yes	No	Is the Borrower or is any guarantor presently delinquent or in default on any debt or any loan, mortgage, financial obligation, bond or loan guaranty?(If yes, please attach an explanation.)
Yes	No	Is the Borrower or is any of the guarantors a co-maker, endorser, or guarantor on any other note? (If yes, please attach an explanation.)

Enclosed
		BORROWER'S BUSINESS EXPERIENCE: Attach a description of the Borrower's experience in the land sale business and the Borrower's proposed use of the line of credit.
		FINANCIAL STATEMENTS & TAX RETURNS:Please attach a copy of a detailed current financial statement for both the Guarantor(s) and the Borrower and the most recent two years of tax returns for the Borrower and each Guarantor.

We the undersigned Guarantor(s) hereby authorize First National Acceptance Company to obtain credit reports on our personal credit from the credit reporting service of its choosing.

_______________________________/___/___	_______________________________/___/___
Borrower	Guarantor
	_______________________________/___/___
	Guarantor

First National Acceptance Company of North America

241 East Saginaw Highway, Suite 200

P.O. Box 4549

East Lansing, MI 48823

toll free: 888-363-FUND

facsimile: 517-333-0390

email: fnacna@tcimet.net

Advantages How it Works Definitions and Terms Guarantee LandLine Schedule Application