Business Line of Credit Application

Requested Credit Line Amount $
Business Information

Business Name
Tax ID #
Date of Ownership

Physical Address
City
State
Zip Code

Mailing Address (If different from Physical Address)
City
State
Zip Code

Phone Number
Fax Number
Type of Business: Profit Non-Profit Other (Please Specify)
Legal Structure: C-Corp S-Corp Limited Liability Company Sole Proprietorship
  Other (Please Specify)
DND # or PayDex Score:
Annual Sales: $ At Current Address: Rent Own
If Lease, How Long is Term
Annual Profit: $  
Assets: Liquid Assets:
 $ Real Estate: $ Other: $
        Cash on hand   Current Market Value   Auto, Equipment, Etc
Liabilities: Liquid Assets:
 $ Real Estate: $ Other: $
        Cash on hand   Current Market Value   Auto, Equipment, Etc.
Total Business Assets: $ Total Business Liabilities: $
Business Banking Information
Bank Name: Account Number:
Bank Name: Account Number:
Please Tell Us About Yourself (Authorizing Office)
Full Name:

Last
First

Middle Initial
Address:
Street Address
Aptartment #
 

City
State

Zip Code
Rent Own Length of Time: Social Security Number:
Date Of Birth: Driver's License Number:
Primary Phone: Alternate Phone:
Mother's Maiden Name: Annual Salary: $
Assets: Liquid Assets:
 $ Real Estate: $ Other: $
    Cash on hand   Current Market Value   Auto, Equipment, Etc
Liabilities: Liquid Assets:
 $ Real Estate: $ Other: $
    Cash on hand   Current Market Value   Auto, Equipment, Etc.
Total Personal Assets: $ Total Personal Liabilities: $
Title: Owner       President       Vice President       Treasurer
Percent Ownership : Years as Owner:
Personal Banking Information
Bank Name: Account Number:
Bank Name: Account Number:
Name and Date
Name: Date:

Signature:

Blue Chip International L.L.C. Financial Agreement
I, the undersigned (“Client”) do hereby agree to the following terms and conditions of this Consulting Agreement with Blue Chip International, LLC (“Company”). The parties agree as follows:
1. Appointment of Company;
    Release of Information:		 Upon receipt of this agreement, Client appoints and authorizes Company to access and review your personal and business credit report, and to charge the checking account (or credit card) provided to Company $75 which covers the cost of obtaining such reports. The Company will apply for and obtain a business loan(s) on behalf of the Client. Client gives Company authority to submit loan applications; and gives permission to access the Client’s personal and/or business credit history and disclose it to necessary parties.
2. Term and Termination: This Agreement shall be in effect until the last credit application submitted has been concluded (approved or denied), and that the Client may not apply for any financing without Company’s written authorization while agreement is in effect.
3. Indemnification: Client affirms that all information provided to the Company or lending institutions will be truthful, accurate, and complete. Client agrees that failure to do so may be unlawful; Client agrees to release, indemnify, and hold Company harmless and its principals, employees and or representatives of any and all liability including any costs or expenses incurred by Company as a result of inaccurate information provided by the Client.
4. Client Cooperation: Client agrees to make itself available to the Company during the Term of this Agreement; Client agrees to cooperate in signing loan applications and participating in telephone calls needed to facilitate loan approvals; client agrees to notify Company of each loan approval or denial within five (5) business days of receipt.
5. CONSULTING FEE Terms and Conditions: Client agrees to pay Company a one-time Consulting Fee in an amount equal to fifteen (15%) percent of the total unsecured loan(s), line(s) of credit, and or credit card(s) obtained with the assistance of Company. Client agrees that the total Consulting Fee is owed and shall be paid by Client within five (5) days after being approved of each credit application. It is the Client’s sole responsibility to inform Company of each lender’s approval or denial decision by providing Company with either a copy of an approval or denial letter from each lender. If Client does not provide Company with an approval or denial letter from the lender within thirty (30) days of each credit application’s submission date (as evidenced by the email or fax sent to you disclosing the lender’s name, contact information, and instructing Client what to do) Company will consider the application was approved and funded for the full requested amount, and the consulting fee on such credit application will be due and considered fully earned and non-refundable.
6. No Warranties; No Guarantees: Client agrees that Company has not extended a warranty or guaranty that Client will obtain a loan approval, or an approval specifying particular terms. Consulting fee will be due in the case the amount funded is lower than the amount requested by Client.
7. Guaranty of Client: The Client hereby unconditionally guarantees to the Company the full and punctual payment of the Consulting Fee when and as the same shall become due and payable; the Client offers this Guaranty as an individual, as the owner and operator of the business, and as the business itself.
8. In the Event of Default: The Client understands and agrees that in the event of default of payment of Consulting Fee to Company, Company will report unpaid and delinquent debts to personal and business credit bureaus directly, or through a third party debt collection entity. Client understands that delinquent debts reported to the credit bureau(s) might harm the Client’s ability to secure or maintain financing or other financial services.
9. General Terms and Conditions: (a) Entire Agreement. This Agreement and its attachments contain the entire Agreement between the parties; (b) Choice of Law; Venue; Jurisdiction. Client herein expressly submits to the sole and exclusive jurisdiction of Nevada.
BY MY ONLINE SIGNATURE I (CLIENT) CONFIRM I HAVE FULL AUTHORITY TO EXECUTE THIS AGREEMENT AND TO OBLIGATE ALL COMPANIES, FIRMS, CORPORATIONS, PARTNERSHIPS, ORGANIZATIONS, INDIVIDUALS, AND OR ENTITIES REFERENCED HEREIN, AND CERTIFY INFORMATION SUPPLIED TO COMPANY IS TRUTHFUL, ACCURATE, AND COMPLETE. THE CLIENT OLINE SIGNATURE IS ALSO AUTHORIZATION FOR A ONE-TIME WIRE TRANSFER CHARGE OF $1,000.00 FOR A GOOD WILL APPLICATION FEE THAT IS NON-REFUNDABLE.
 
Name: Date:
Business Name: Social Security Number:
Phone: Cell: Driver's License Number:
Personal Address:
City: State: Zip Code:
Email:
 

Signature:

     

Please fax us a clear readable copy of your Driver's License & SSN # Card       
Fax: 1-248-281-0700

Wiring Instructions for Blue Chip International, L.L.C.
Bank of America Located in Nevada Wiring Routing Number: 026009593
Account Number: 501002909381

Various Loan Offerings

Unsecured Business Lines of Credit
Commercial Loans
Warehouse Loans
Hard Money Loans