P.O. Box 98036, Baton Rouge, LA 70898-9036 888.769.8841 www.campusfederal.org Fax Number: 225.408.4919
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Business Loan Form

* Required Fields
Legal Name of Business*   Note: if no name please put TBD
New or Existing Business* New Business  Existing Business    
Tax ID# * Note: TIN/EIN, SSN, or if none please put TBD
Ex: 00-0000000 or 000-00-0000
Tax ID Type *  TIN/EIN  SSN   
Do you have business and personal tax returns available?* Yes  No   
Business Structure*  Corporation
 LLC
 Partnership
 Non-Profit Corp
 Association
 TBD
Brief description of the type of business *
example: dental office
100 characters max
Address1*
Address2
City, State, Zip*
Phone Number*    Ext# 
 Ex: 555-555-5555
 (optional)
Email*
Owner(s)*
First NamesLast NamesTitlesPercentage of ownership
        
Amount of Loan Requested*
Amount of Equity injection / down payment*
Loan Purpose*





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Notice: Under the USA Patriot Act, all financial institutions are required to obtain, verify, and record information that identifies each individual who is opening an account. When opening your account, we will ask for the following information: your name, address, telephone number, social security number or TIN number, date of birth, employment information, and your driver's license or state issued ID. We will make a copy of these identifying documents for our records. The USA Patriot Act was signed into law to help the government fight the funding of terrorism and money laundering activities.

 

To open an account you must be a member of Campus Federal. Please use our membership application to apply for membership and open an account. Current members, please use the contact us form to specify the type of account you would like to open.