Returning Applicant - Tenant Lease Form

LOAN REQUEST:

NAME

CELL PHONE

SS#

NMLS#

NAME OF TENANT YOU ARE REPRESENTING?

WHAT IS THE TENANT'S CURRENT SQUARE FOOTAGE?

WHAT IS THE TENANT'S ANTICIPATED SQUARE FOOTAGE?

WHEN DOES THE TENANT’S CURRENT LEASE EXPIRE?

WHAT IS THE EXPECTED AMOUNT YOU WILL NET AT THE LEASE SIGNING? *

WHEN IS THE LEASE SIGNING ANTICIPATED?

HOW MUCH DO YOU WANT TO BORROW? *

OTHER ITEMS NEEDED: Please attach copies if applicable.

Copy of Driver’s License, Copy of the Exclusive Tenant Representative Agreement.
Upon submission of this form and the documents attached, you agree to the following: (Please "check" the box below and complete the date and signature)

Declaration: *

I declare under penalty of perjury that each of the representations and acknowledgements contained in this Application were and remain true and correct to the best of my information and belief. Furthermore, I acknowledge that any intentional or negligent misrepresentation of the information contained in this Application may result in civil liability and/or criminal penalty for monetary damages to Oak Brook Bancorp, its agents, successors and assigns, insured and any other person who may suffer any loss due to reliance upon any misrepresentations which I have made on this application.

DATE

SIGNATURE

All information provided will be kept confidential and will not be sold or distributed.

*All information you provide will be sent through a secure and encrypted portal.

If you prefer to Download this form and email it, please send to [email protected]

LOAN REQUEST