Business Loan Request

Park Bank offers an array of business lending products—from small business term loans to larger commercial loans to business lines of credit—each designed to give your business access to the capital needed to grow and thrive in today's competitive market.

The USA PATRIOT Act, a Federal law, requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account, including business accounts. Park Bank associates will have to ask you for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents, as well as documents relating to the business.


This page is secure. At Park Bank, we are committed to providing a safe online application through security and encryption technology. The information you provide in this form is encrypted and will be deciphered in a secure environment at Park Bank.

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Business Information

Primary Contact

Business Attorney

Business Accountant

Insurance Agent

Borrower Information

Co-Borrower Information

Loan Request Information

Management/Ownership Information

Add Management/Ownership Information

If you answer yes to any of the questions below, please explain in the section after the questions.

Notices to Applicant

Right to Receive a Copy of Appraisal: If your loan will be secured by a lien on a 1-4 unit residential dwelling, we may order an appraisal to determine the property's value and charge you for this appraisal. We will promptly give you a copy of any appraisal, even if your loan does not close. You can pay for an additional appraisal for your own use at your own cost.

ECOA Notice: 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 (provided the applicant has the capacity to enter into a binding contract; because all or 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 Protection Act. The Federal agency that administers compliance with this law concerning this creditor is: The Federal Deposit Insurance Corporation, Consumer Response Center, 1100 Walnut Street, #11, Kansas City, MO 64106

If you are denied credit, you have the right to a statement of specific reasons within 30 days, if the statement is requested within 60 days of denial. You may request a written statement by contacting Park Bank at P.O. Box 8969, Madison, WI 53708, Telephone 608-278-2801.

Certification and Authorization

The information contained in this request for credit is provided for the purpose of obtaining credit with Park Bank on behalf of the Borrower(s). By submitting this Request the Borrower(s)

  1. Warrants and represents that the information provided is true and correct and understands that Park Bank will rely upon this information to make a credit decision.
  2. Authorizes Park Bank to verify the accuracy of the information contained in this application or in conjunction with this application through additional sources as deemed necessary.
  3. Acknowledges that it may be a federal crime to knowingly make false statements concerning any of the above information under Title 18, United States Code Section 1014.
  4. Agrees to pay all third party costs without limitation that are incurred by Park Bank throughout this process. Third party costs include, but are not limited to, appraisals, credit report, flood determination, environmental, title work, etc.). Borrower(s) agrees to pay all third party feel regardless of whether the loan closes.

Additional Services Offered