Ownership of Applicant Company - Continuation Form

Instructions if submitting electronically: Submit this Form Page AFTER you have submitted the Loan Request Form and ONLY if necessary.

Applicant Company

Company Name

Ownership of Applicant Company
List below all owners, partners, and stockholders with 20% or more ownership interest

Name Name
Title Title
Address Address
City, State Zip City, State Zip
Telephone Telephone
% of Ownership % of Ownership
Social 
Security #
Social Security #
- -
Name Name
Title Title
Address Address
City, State Zip City, State Zip
Telephone Telephone
% of Ownership % of Ownership
Social 
Security #
Social 
Security #

 


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