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Thank you for your interest in a Regions Business Line of Credit! Please complete the information below, and a Regions banker will contact you within the next two business days to complete your application. We appreciate your business!

Please resolve the following issues

Legal Business Name/Borrowing Entity*

 

Business Physical Address*

 

City*

 

State* Choose one Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

 

Zip*

 

Business Phone Number*

 

Type of Business Choose one Association C-Corporation Individual Limited Liability Corporation Limited Liability Partnership Not For Profit Partnership Proprietorship S-corporation Religious Organization Other

 

Gross Revenue Prior Fiscal Year

 

Requested Loan Amount

 

First Name of Owner/Borrower/Guarantor*

 

Last Name of Owner/Borrower/Guarantor*

 

Home Physical Address*

 

City*

 

State* Choose one Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

 

Zip*

 

Phone Number*

 

Ownership Type* Choose one I do have ownership and I am guaranteeing this debt I do have ownership but I am not guaranteeing this debt I have no ownership and my intent is to apply jointly for credit I have no ownership and I am only signing on behalf of the business

 

Ownership Percentage