Application for Post Office Loan

PO Box 588050
North Metro, GA 30029-8050
(770) 921-7091 ▪ Toll Free (800) 849-8436
Application for Post Office Loan
Loan Amount Information
Loan Amount Requested:
Is the Property being purchased or refinanced
Original Purchase Amount: $
Original Loan Amount: $
Subject Property: Property Value: $
Appraiser:
Appraiser Phone:
Company Information
Company Name:
Tax ID #
Company Address:
City:
County:
State: Zip Code:
Telephone:
Fax:
Type of Business:
Date Established:
Type of Entity: □ Corporation □ Partnership □ Sole Proprietorship □ Other
Closing Attorney Name:
Telephone:
Fax:
Applicant:
Social Security Number:
Address:
City:
State:
Telephone:
Email:
Applicant Information
Title:
County:
Zip Code:
Fax:
Co-Applicant (1) Information
Co-Applicant:
Title:
Social Security Number:
Address:
City:
County:
State:
Zip Code:
Telephone:
Fax:
Email:
(Over)

Co-Applicant:
Social Security Number:
Address:
City:
State:
Telephone:
Email:
Co-Applicant:
Social Security Number:
Address:
City:
State:
Telephone:
Email:
Co-Applicant (2) Information
Title:
County:
Zip Code:
Fax:
Co-Applicant (3) Information
Title:
County:
Zip Code:
Fax:
Ownership of Applicant Company – List all officers, principals, directors, partners,
owners and co-owners of record.
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.
% of
Company Name
Owner
Ownership
Signature of Applicant:
Signature of Applicant:
Signature of Applicant:
Signature of Applicant:
Date:
Date:
Date:
Date:
Revised 06/20/07