Personal Financial Statement
Please provide a completed Personal Financial Statement for each company principal or owner.
PERSONAL PROFILE
State
State
Employer (If Self-Employed, Name of Business) Self-Employed Position
Yes No
Employer Address
State
Previous Employer (If with current employer less than 2 years)
State
Position
CPA/Accountant
CO-APPLICANT OR GUARANTOR PROFILE
Name Social Security Number
State
Employer (If Self-Employed, Name of Business) Self-Employed Position
Yes No
Employer Address
State
PERSONAL FINANCIAL PROFILE
Your Annual Salary
Your Co-applicant's/Guarantor's Annual Salary
Rental Income*
Total Annual Income
Yes
No
Additional Details
Marketable Securities (Schedule F)*
Net Worth*
$
Total Assets*
$
Total Liabilities + Net Worth*
$
Other Assets (Please Itemize)
Total Liabilities*
$ $
Real Estate Owned (Schedule H)*
Cash Value of Life Insurance (Schedule I)*
Business(es) Owned (Schedule G)*
Accounts/Notes Receivable (Schedule C)*
Other Obligations (Please Itemize)
Retirement Accounts (Schedule E)*
Checking Accounts (Schedule A)*
$
Credit Cards/Lines of Credit (Schedule D)*
$ $
Savings Accounts (Schedule B)* Real Estate Loans (Schedule H)*
1
You do not have to include information on income from alimony, child support or separate maintenance, unless you want it to be considered in granting credit, in which case it should be included in the space
for other income.
Are any of the categories of Total Annual Income likely to be reduced
or interrupted over the next year? If yes, please describe under
Additional Details below.
Do you have loans/obligations in any other individual or business name? If
yes, please describe under Additional Details below.
Yes
No
Assets Market Value Liabilities + Net Worth
Outstanding
Balance
Min. Monthly Payments
Total Expenditures
$
$
$
Net Annual Income
$
Alimony
Other Expenditures (Please Itemize)
Other Income (Please Itemize)
1
Insurance Premiums
Property Taxes
Real Estate Payments*
$
$
Rent Lease Payments
Income Taxes
City
ZIP
Annual Income
Amount
Expenditures
Annual Payments
Min. Monthly Payments
Years There
Salary
Commission
Previous Address (If less than 2 years at current address)
City
ZIP
Years There
Date of Birth
City
ZIP
Years There
Years There
Salary
Commission
City
ZIP
Other Name(s) in which credit has been granted
Home Phone (Include Area Code)
Number of Dependents
Ages of Dependents
Previous Address (If less than 2 years at current address)
City
ZIP
Years There
Own
Other
Rent
Other
Current Street Address (Where Living)
City
ZIP
Years There
Own
Other
Rent
Other
Name
Date of Birth
Social Security Number
Date
Check your marital status and only answer questions on this statement about your co-applicant/guarantor if (a) you live in a community property state (AZ, CA, ID, LA, NV, NM, TX, WA, WI) or (b) this
information relates to a joint credit request with your co-applicant/guarantor. If you are married and live in a community property state,
Bank of America, N.A. will assume that all assets, income and debts
are community property unless you indicate otherwise.
Please select one of the following:
Married
Unmarried Separated
*These values are automatically calculated.
*T
hese
values are
aut
omatically calculated.
Individual Borrowers and Guarantors (Do not include business assets/liabilities)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Schedule A - Checking Accounts
Schedule B - Savings Accounts
Schedule C - Accounts/Notes Receivable
Schedule D - Credit Cards/Lines of Credit
Rate
Schedule E - Retirement Accounts
Schedule F - Marketable Securities
Exchange
Listed
Schedule G - Business(es) Owned
Schedule H - Real Estate Owned
Rate
Schedule I - Life Insurance
4
Please enter one of the following Types of Life Insurance in this column for each account: Term, Whole Life, or Variable
Type of Life Insurance
4
Death Benefit $
Owner
Cash Value $
Beneficiary
Property Address
Mortgage Lienholder
Purchase Date
Rental Income
Current Market Value
Maturity
y
Payments
Outstanding Balance
3
Please enter one of the following Types of Security in this column for each account: Stocks, Bonds, Mutual Funds, Cash, 529 Plan(s)
% of Ownership
Description
Exchange Listed
Ownership Type
Current Market Value
Length of Ownership
2
Please enter one of the following Account Types in this column for each account: 401(k)
, Roth IRA, Traditional IRA
, IRA Rollover
, SEP or SIMPLE
Type of Security
3
tion
e(s) of Owner(s)
Ownership Type
Current Market
Value
Length of
Relationship
Type of Retirement Account
2
Market Value
Institution Where Held
Exchange Listed
Type of Credit
Outstanding Balance
Min. Monthly Pmnt
Date Established
Rewards Program?
Due From
Date Expected
Amount
Savings Account Average Balance Current Balance Financial Institution Length of Relationship
Checking Account
Average Balance
Current Balance
Financial Institution
Length of Relationship
Brokerage Firm
Name of Owners
Description
Ownership Type
Do you have contingent liabilities? Yes No
Are any assets held in a trust? Yes No
Borrower Signature:
Co-Applicant or Guarantor Signature, if applicable:
Date
Effective 11.01.2021- D
If Yes to the above questions please explain below…
PERSONAL STATEMENT
By signing below, you certify that
the statements above and on any attachment(s) are true and complete as of the date below.
You authorize the Bank to verify or check any of the information given, check your credit references, and verify employment. You also authorize the Bank to provide credit information about you and your account to
others. You are hereby granting the Bank permission to access your credit bureau reports and other information from third parties so that we can consider you for loan products that are suitable and which we may offer to
you, including, but not limited to: term loans, lines of credit, and commercial/business credit cards, and also in the future in connection with periodic reviews, updates, renewals, extensions and collection activity for the
credit granted as a result of this application. If you ask we will inform you whether we have requested a consumer report and if we have, we will provide the name and address of the consumer reporting agency that
furnished the report.
Your failure to provide to us any financial or other information we request, including but not limited to, a signed and dated Personal Financial Statement; a current year Balance Sheet and Income Statement; a signed and
dated Business Debt Schedule; or your most recent 2 years Business and Personal Tax Returns (or copies of requested extensions to file those returns), may result in a decision to decline your application for credit. Note:
SBA loans or credit requests over $1 million require Business and Personal Tax Returns for the most recent 3 years.
Federal law requires us to verify information that identifies you and others on an account. We need legal name, birth date, address, and tax identification, and may ask to review photo identification and other identifying
documents or information.
The undersigned has/have submitted or intends to submit to the Bank one or more requests for credit, and understands that the Bank will be relying on information submitted in connection with those requests for credit. It
is acknowledged that the loan structures and amounts may change during the normal course of the underwriting process, including the parties to the request for credit. The request for credit currently involves the parties
set forth below. He/She intends to apply for/guarantee the request for credit and submits this Personal Financial Statement (PFS), either individually or jointly with another person, in support thereof. The undersigned
understands that he/she is entitled to apply for and/or guarantee credit individually regardless of marital status, that the Bank can assess whether or not the undersigned qualifies for the request for credit, and that the Bank
may be entitled to request an individual financial statement or additional information/obligors as permitted by law and regulation. This Certification is intended to supplement information submitted by the undersigned to
Bank in connection with the request for credit and is not a replacement thereof.
This Personal Financial Statement may be in the form of an electronic record and may be executed using electronic signatures and shall be considered an original, and shall have the same legal effect, validity and
enforceability as a paper record. This Personal Financial Statement may be executed in as many counterparts as necessary or convenient, including both paper and electronic counterparts, but all such counterparts are one
and the same Personal Financial Statement. For the avoidance of doubt, the authorization under this paragraph may include, without limitation, use or acceptance by the Bank of a manually signed paper Communication
which has been converted into electronic form (such as scanned into PDF format), or an electronically signed Communication converted into another format, for transmission, delivery and/or retention.
Important Notice About Your Right To Receive A Copy of An Appraisal
If a 1-4 family residential property is being offered as collateral on your request, we may order an appraisal to determine the property’s value and charge you for this appraisal. If an appraisal is ordered At your request, a
copy of this appraisal will be provided to you at no additional cost, even if your loan does not close.
Are your principal cash deposits held jointly with another individual or institution? Yes No
Are any assets encumbered or debts secured as indicated? Yes No
Are there any suits or unpaid judgements now pending against you (or your co-applicant or guarantor)? Yes No Yes No
Have you (or your co-applicant or guarantor) ever voluntarily surrendered or had a vehicle or any other item repossessed? Yes No Yes No
Have you (or your co-applicant or guarantor) ever been the subject of bankruptcy proceedings? Yes No Yes No
Have you (or your co-applicant or guarantor) ever been convicted of a felony? Yes No Yes No
Have you ever applied for or obtained credit through another name? Yes No
Are you a US citizen? Yes No If no, please give your country of citizenship?
YOU
YOUR CO-
APPLICANT/GUARANTOR
Are you (or your co-applicant or guarantor) a veteran, in active duty, or in the reserves or national guard, of the U.S. Armed Forces?
Yes No Yes No
COMMENTS (Use additional sheets if necessary)
Date