First Pryority Bank

AIRCRAFT LOAN APPLICATION

For security reasons and for your protection, we ask that you do not e-mail personal information over the internet. Please print our aircraft loan application and mail or fax it to us along with two forms of ID (one of which must be current driver’s license or state issued photo ID card) and the top two pages of your last two years tax returns. Business applicants must provide proof of business (such as Articles of Incorporation, government-issued business license, partnership agreement, etc.)

First Pryority Bank’s policy does not allow the opening of accounts or loans to non-US citizens or for applicants that have applied for, but have not yet received a taxpayer identification number.

NOTE:  BEFORE any aircraft loan can be funded, we require complete copies of the airframe logbook and copies of engine logs from the last detailed major overhaul to the present time.

Fax the information to (918)825-0519                          

Or                                                                                           

Mail to:                                                                        Contact Info:

First Pryority Bank                                 Robert Guderian                     

Attn: Robert Guderian                         Email: [email protected]

P.O. Box 218                                        PH: (800)462-7032                                            

Pryor, OK 74362                                           (918)825-2121

IMPORTANT: Read these directions before completing this Statement, and check the appropriate box below.

o I intend to apply for credit individually.  __________ (initial)

o We intend to apply for joint credit.       __________ (initial) __________ (initial)

o If you are applying for individual credit in your own name and are relying on your own income or assets and not the income of another person as the basis for repayment of the credit requested, complete only Sections A and D.

o If you are applying for joint credit with another person, complete all Sections providing information in each Section B about the joint applicant.

o If your business is purchasing the aircraft, please complete Section C and D.

o If this statement relates to your guaranty of the indebtedness of other person(s), firm(s) or corporation(s), complete Section A and D.

o Please complete Section E – Aircraft Specification Worksheet

USA Patriot Act/Customer Identification Program: Important Information about Procedures for Opening a New Account

To help the government fight the funding of terrorism and money laundering activities, the USA Patriot Act requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask your name, physical address, date of birth, taxpayer identification number and other information that will allow us to identify you. We may also ask to see your driver’s license or other identification documents. We will let you know if additional information is required.

AMOUNT REQUESTED

PAYMENT DATE

PROCEEDS OF CREDIT TO BE USED FOR:

◄Applicant Information►

SECTION A – INDIVIDUAL INFORMATION	SECTION B – JOINT PARTY INFORMATION
Name (First, Middle Initial, Last)	Name (First, Middle Initial, Last)
SSN/Tax ID Number	SSN/Tax ID Number
Date of Birth	Date of Birth
Are you a U.S. Citizen? o Yes           o No	Are you a U.S. Citizen? o Yes           o No
Home Phone	Home Phone
Work Phone	Work Phone
Cell Phone	Cell Phone
Email Address	Email Address
Drivers License/State ID Card No. __________________________________________ State _____   Date of Issuance _____________ Date of Expiration ________________________	Drivers License/State ID Card No. __________________________________________ State _____ Date of Issuance ______________ Date of Expiration ________________________

◄Residence►

SECTION A – INDIVIDUAL INFORMATION	SECTION B – JOINT PARTY INFORMATION
Current Physical Address _________________________________________ City, State & Zip	Current Physical Address            _________________________________________ City, State & Zip
How many years at Current Address?	How many years at Current Address?
Mailing Address (if different from physical) ________________________________________ City, State, & Zip	Mailing Address (if different from physical) _________________________________________ City, State & Zip
Previous Address            Years There ______ _________________________________________ City, State, & Zip	Previous Address              Years There ______ __________________________________________ City, State, & Zip

◄Employer Information►

SECTION A – INDIVIDUAL INFORMATION	SECTION B – JOINT PARTY INFORMATION
Present Employer             Years There ______	Present Employer              Years There ______
Physical Address ________________________________________ City, State, & Zip	Physical Address _________________________________________ City, State, & Zip
Occupation	Occupation
Position or Title	Position or Title
Present Gross Salary or Commission $                                               PER	Present Gross Salary or Commission $                                                  PER
Previous Employer              Years There _____	Previous Employer             Years There _____
Physical Address _________________________________________ City, State, & Zip	Physical Address _________________________________________ City, State, & Zip
Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Other Income $                                               PER	Other Income $                                                 PER
Source	Source
Is any income listed above likely to be reduced before the credit requested is paid off? o No       o Yes     If yes, explain:

◄Relative Contacts►

List Nearest Relative Not Living With You –

SECTION A - INDIVIDUAL INFORMATION	SECTION B – JOINT PARTY INFORMATION
Relative’s Name	Relative’s Name
Relationship	Relationship
Physical Address	Physical Address
City, State, Zip	City, State, Zip
Phone	Phone

◄Business Information►

SECTION C- If your business is purchasing the aircraft, please complete this section.
Legal Name of Business	d/b/a name, if different
Business Address (No P.O. Boxes)	Mailing Address (if different)
City	City
State                                Zip	State                                      Zip
Phone	Fax
Email	Federal Tax ID Number
Date Established	Current Ownership Since Date
Description of Business	Business Structure (check one) oSole Proprietorship    oPartnership   oLLC	oS Corporation            oC Corporation oNot-for-Profit              oOther
State of Incorporation	Number of Employees

◄Financial Information►

SECTION D – FINANCIAL INFORMATION
Assets (what you own)	In Dollars
Checking Accounts	$
Savings Accounts	$
IRA/Retirement Accounts	$
US Gov’t & Marketable Securities	$
Other Securities	$
Real Estate Owned	$
Automobiles	$
Recreational Vehicles	$
Vessel/Aircraft	$
Other Personal Property	$
Other Assets/Itemize:
1)                                                $	2)                                                 $

SECTION D – FINANCIAL INFORMATION
Bank Information
Account Type (check one)	Account Number	Bank Name/Location
o Checking      o Other o Savings
o Checking      o Other o Savings
o Checking      o Other o Savings

Liabilities (what you owe)
Debt Type	Unpaid Balance	Monthly Payment	Months Remaining
Mortgage/Personal Residence	$	$	$
Home Equity Loan (2^nd Mortgage	$	$	$
Notes Payable – Income Property	$	$	$
Notes Payable – Vessel/Aircraft/RV	$	$	$
Notes Due – Personal	$	$	$
Credit Cards	$	$	$
Unpaid Income Tax Due	$	$	$
Other Liabilities/Itemize
1)	$	$	$
2)	$	$	$
3)	$	$	$

◄Contingent Liabilities►

SECTION D – CONTINGENT LIABILITIES       Please answer the following questions
Are you or your business the endorser, co-maker, or guarantor of anyone’s debt or loans?	o Yes      o No
Are you financially liable on any leases and/or contracts?	o Yes      o No
Are there any Legal Claims you are financially liable for?	o Yes      o No
Do you or your business have any unpaid tax liabilities?	o Yes      o No
Amount of any tax liens?	$
Are you a defendant in any suits or legal action?	o Yes      o No
Have you or your business declared bankruptcy in the last 10 years? If so, explain. Year?	o Yes      o No
If you answered yes to any questions, please explain:

◄Aircraft Specification Worksheet►

SECTION E - Aircraft Information
Year		Make		Model
Registration Number		Serial Number		Purchase Price $
Is aircraft currently airworthy? o Yes      o No		What is the date last flown?		Has aircraft ever operated under foreign registry? o Yes      o No           If yes, which country? Dates?
Will aircraft be leased? o Yes      o No		Where will aircraft be based?		Avg. (Expected) Total Hrs/Yr
Are logs complete? o Yes      o No Missing/Explain:		Damage History? o Yes      o No		What/When?
Airframe		Engine		List Avionics
Current Airframe Total Hours		Engine Make & Model		Nav/Com: Nav/Com:
Date of Last Annual		SMOH & Date:		GPS/FMS: GPS/FMS:
AF Hours when Completed		STOH & Date:		A/P:
Exterior Condition				HSI:
Good o	Average o		Poor o	MFD/EFIS:
Comments:				FD:
				Stormscope:
Interior Condition				GEM:
Good o	Average o		Poor o	X-Ponder:
Comments:				Audio Panel:
				Radar:
When Refurbished? Year                     Hrs		Was Interior totally replaced or re-ragged? o Yes      o No		TCAS:
				WX-Data Link   o Yes      o No
Other Information:				De-Ice            o Yes      o No
				Air                  o Yes      o No
				MODS
				List:

I acknowledge that I have made this application with the intent that you should rely upon the information contained herein in granting the credit requested. I understand that, if the loan is granted, you may report information concerning the credit to consumer reporting agencies and others.

     I affirm that my answers are complete and true and authorize you to verify or obtain any information necessary concerning them.  Upon your request, I further authorize any firm or individual from whom I may have obtained or requested credit, to furnish you with the details of that transaction. I also agree to provide current financial information upon request in a form that is acceptable to you as well as any additional information needed to verify my identity. I am authorizing First Pryority Bank to check my credit and employment history.

Signature	Signature
Date Signed:	Date Signed: