First National Bank Texas/First Convenience Bank

Business Loan Information Instructions

This questionnaire is intended for current customers or those moving to our geographic area who will be banking with us. If you will be relocating to our area, please advise us of your anticipated date of arrival.

If this does not apply to you, please be advised that we are not currently lending to non-customers out of our geographic area.

Due to the Children's Online Privacy Protection Act, we do not intend to collect information about children who are under the age of 13. By completing and submitting this form, you certify that you are over the age of 13.

Note: Fields marked in are required.

Business Contact Information

First Name

Middle Name

Last Name

Contact Information

Phone Number

Enter the phone number you currently have on file with the bank.

Address

Street Number

Street Name

Suite/Apt

City

State

Zip Code

Business Information

Business Name

Business Contact Number

Phone Number

Enter the phone number you currently have on file with the bank.

Business Address

Street Number

Street Name

Suite/Apt

City

State

Zip Code

Type of Business

Corporation

Partnership

Proprietorship

Other

Other type of Business

If you selected 'Other' above, enter the business type here.

Established/Incorporated Date

Enter the year the business was established or incorporated.

Number of Employees

Enter the number of employees you have employed.

Home Loan Information Request

Business Loan Information Instructions