STATEMENT OF MONEY LENDER LOAN INFORMATION: Fill out & sign online

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Click ‘Get Form’ to open the STATEMENT OF MONEY LENDER LOAN INFORMATION in the editor.
Begin by entering the applicant's information, including their name, prequalification number, FEIN/SSN, business name (if applicable), and contact details.
Next, fill in the money lender demographic information. This includes the lender's name, member/director/officer details if applicable, FEIN/SSN, date of birth (for SSN entries), business address, phone number, mailing address (if different), and email address.
In the loan information section, describe the type of instrument securing the line of credit or debt. Be sure to attach a copy of this instrument.
Indicate the amount of the loan and whether the money lender will have any interest in the marihuana facility beyond being a lender. If yes, provide details in question 4.
Lastly, complete the acknowledgment section by signing and dating where indicated. Ensure that all required signatures are included for validation.

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