Commercial Loan CSB Luling

Joint Credit Requested:

We intend to apply for joint credit

Yes

Type of Request

New Credit

Refinance or Consolidation

Renewal/Extension (No New Advances)

Renewal with New Advance

Modification

Loan Number 1

Balance 1

Lender Name and Address 1

Loan Number 2

Balance 2

Lender Name and Address 2

Loan Number 3

Balance 3

Lender Name and Address 3

Applicant General Information:

Borrower Name(Required)

OrganizationalForm, Where and When Organized

(ex., Corporation, Delaware, 1984)

Franchise, in full force and without defaults, with (Name of Franchiser)

Current Tradename(s)

Other Tradenames Used in Last 10 Years

Local Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Principal Executive Office Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone No:(Required)

Office Phone No:

Fax No:

Office Fax No:

Tax Identification Number(Required)

Nature of Business(Required)

NAICS Code

Principals' Names, Addresses, Position Title and Social Security Numbers(Required)

Name(s) of Affiliated Entities

Accountant Name, Address, and Phone Number

LOAN REQUEST AND SOURCES OF REPAYMENT

Amount Requested $(Required)

Credit

Commercial Purpose Credit

Agricultural Purpose Credit

Use of Proceeds (Brief Description of Intended Use):

Loan Advances (Choose One)(Required)

Single Advance/Closed End

Revolving Draw Line of Credit

Draw Loan

Construction/Permanent Loan

Revolving Draw Construction Line of Credit

Draw Construction Loan

Loan Payment (Choose One)

Principal and Interest

Principal, plus Interest

Interest Only

Single Payment

Other (describe)

Requested Payment Amount $

Requested First Payment Date

Requested Loan Term

Payment Frequency (if Installment)

Monthly

Quarterly

Semi-Annually

Other (describe)

Describe

Requested Interest Rate

Fixed

Variable

Index (If Variable)

List of primary and secondary sources of repayment for this Credit:

LOAN SECURITY. The requested loan will be secured

Collateral Description

(include cost if a purchase)

LOAN GUARANTY. The requested loan will be guaranteed

Guarantors

(Name, title, address, phone, social security number)

Check all that Apply

Guarantor or affiliate were declared bankrupt within the last 10 years.

There are outstanding judgments against Guarantor. (Attach Summary)

On a separate sheet, list each threatened or pending lawsuit, arbitration, or other proceeding and its amount claimed.

Check if one of the guarantors is an entity and applicant will provide financial statements upon request by lender

Equal Credit Opportunity Notice

CREDIT DENIAL NOTICE. If your gross revenues were $1,000,000 or less in your previous fiscal year, or you are requesting trade credit, a factoring agreement, or similar types of business credit in this Commercial Loan Application, and if your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain the statement please contact (Name, address, and telephone number of the person or office from which the statement of reasons can be obtained): CITIZENS STATE BANK P O BOX 350 LULING, TEXAS 78648 830 875 2472 within 60 days from the date you are notified of our decision. We will send you a written statement of reasons for the denial within 30 days of receiving your request for the statement. The notice that follows describes additional protections extended to you.

NOTICE: 3. LOAN REQUEST AND SOURCES OF REPAYMENT. The federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (providing the applicant has the capacity to enter into a binding contract), because all or a part of the applicant's income derives from any public assistance program, or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is: FDIC CONSUMER RESPONSE CENTER 1100 WALNUT ST. BOX #11 KANSAS CITY, MO 64106

Notices, Consent and Signatures

Important Applicant Information Federal law requires financial institutions to obtain sufficient information to verify your identity. You may be asked several questions and to provide one or more forms of identification to fulfill this requirement. In some instances we may use outside sources to confirm the information. The information you provide is protected by our privacy policy and federal law.

Ohio Residents: The Ohio laws against discrimination require that all creditors make credit equally available to all creditworthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law. Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud.

SIGNATURES. By signing below, Loan Applicant submits this application and the information provided on all accompanying financial statements and schedules for the purpose of obtaining credit and represents that the information submitted is accurate and complete. Loan Applicant acknowledges that representations made in this application will be relied on by Lender in evaluating this application and, if approved, in extending credit. Loan Applicant represents that none of the parties named in this application have relied on advice from the Lender in applying for or receiving any credit. Loan Applicant acknowledges that Lender has not made any commitment to approve this application and extend credit, unless otherwise agreed to in writing. Lender is authorized to conduct any inquiries it decides are necessary to verify the accuracy of the information contained in this application and to use any reasonable method to determine the creditworthiness of the Loan Applicant. Lender is also authorized to answer any questions from others about Lender's credit experience with the parties in this application. Loan Applicant will promptly notify Lender of any subsequent changes which would affect the accuracy of this application, and will provide all documents and information that Lender decides are necessary to complete this application. Loan Applicant authorizes Lender to retain this application, whether or not Lender approves any extension of credit. Any intentional misrepresentation of the information contained herein could result in criminal action under federal law.

In addition, each individual signing below authorizes the Creditor to check their individual credit account and employment history and have a credit reporting agency prepare a consumer credit report on them.

Applicant Name(Required)

First Last

Date(Required)

Title(Required)

Applicant Name

First Last

Date

Title

Banking Sign In

Commercial Loan Application