Official - G4 Freedom - Application - Form - 1-1

G4 Freedom Investment Company
Office Address: 1725 WASHINGTON RD STE 406, PITTSBURGH,

PA 15241,U.S.A
Website:www.g4freedominvestment.com
Dear Valued Partner,
Please supply the following information which will enable the management of G4 Freedom Investment
Company understands the structure of your organization and your business to determine our ability to
support your business with loan facilities.
All information provided will remain confidential and will be reviewed only by authorized persons Involved
in the final decision making process. If we approve your application a copy of verification Documents for
loan applicants will be required, i.e. identity confirmation (e.g. passport or full driving License).
* Ensure all provision required below are indicated properly so as to enable us have a proper report
on your proposition.
SECTION A – Loan Applicant Details
1. Applicant Name(s):
2. Company Name:
3. Company Address:
4. Business Number: (b) Mobile number:
5. E-mail address:
6. Business type (Tick as appropriate) (a) Sole Trade (b) Partnership

(c) Limited company (d) Family owned (e) other:
7. Date business established:
8. Company Registered Number:
9. Accounting year end:
10. Brief description of business:

Complete section (11) if the other share Holders are involved
11. Shareholders - Names of shareholders and shares owned:
(a) Name:-
Shares/Equity Held:-
(b) Name:-
Shares/Equity Held:-
(c) Others:-
SECTION B – General information about the loan request
1) Why are you applying for the loan? (Give a brief description
of the Project/purpose of the loan
2) Total cost of project
3) Loan amount requested
4) Over what period? (Maximum 10 years)
5) Do you wish to repay by monthly or quarterly installments?
6) Do you require a capital repayment holiday? Yes/ No

If so for how long? (Maximum 12 months)
7) What are the detailed project Costs?

$-
$-
$-
Total cost of project
$-
$-
$-
Any Non G4 Freedom Investment Company funding? If any $
8) What are the sources of the non G4 Freedom Investment Company funding?
Bank loan/overdraft -
Grants –
HP/leasing –
Your personal finances
Total of non G4 Freedom Investment Company

$-
SECTION C – Financial Results

1) Historic Accounts – Last 2
Years * Year Ending

2021: US$ -
2022: US$ -
SECTION D – Bank Account Details.

Bank Name:
Bank Address:
Swift Code:
Sort Code:
Account Number:
Name of Account Holder:
SECTION D – General
1) Has any owner, partner or director of the business been convicted of fraud or any other
offence? Involving dishonesty? Yes/No ( )
2) Have judgment entered against you in the county court? Yes/No ( )
3) Have you been disqualified from the Board of Directors of a Company? Yes/No ( )
4) Have you been adjudged bankrupt or subject or a personal

voluntary Creditors arrangement? Yes/ No ( )
I hereby expressly, specifically and unqualifiedly agree to wholly hold harmless and indemnify,
Officers, directors, employees, agents and nominee shareholders and (or) nominee directors
Provided by you. Or its agents if any, from any liabilities of any kind or character arising out of any
Lawful actions taken by them in reliance upon any fact or statement contained in this declaration this
may hereafter prove to be untrue or materially inaccurate.
I/We wish to apply for a loan from G4 Freedom Investment Company, U.S.A, United States
America. As detailed on this application form and I/we confirm that the information on this
Application Form is correct to the best of our knowledge and belief and agree that G4 may make
any further enquiriesregarding this application.
Signature of Applicant:
Names of Applicant:
Passport Number:
Date: / / / /
NOTE: This Loan Application Form I am ask you consider in as ORIGINAL!!!
FOR OFFICE USE ONLY

Verification officer: Mr Fleming John
Position: Head of Internal Processing Committee, re-

Evaluation/Strategic Department for G4 Freedom Investment
Company. United States America.
Date: / / / /
Official Seal:
Loan Application Approval code
G4 Freedom Investment Company, Office Address: 1725 WASHINGTON RD STE 406, PITTSBURGH, PA
15241,U.S.A.

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G4 Freedom Investment Company

Office Address: 1725 WASHINGTON RD STE 406, PITTSBURGH,

Dear Valued Partner,

SECTION A – Loan Applicant Details

4. Business Number: (b) Mobile number:

6. Business type (Tick as appropriate) (a) Sole Trade (b) Partnership

7. Date business established:

8. Company Registered Number:

9. Accounting year end:

10. Brief description of business:

SECTION B – General information about the loan request

2) Total cost of project

3) Loan amount requested

4) Over what period? (Maximum 10 years)

5) Do you wish to repay by monthly or quarterly installments?

6) Do you require a capital repayment holiday? Yes/ No

7) What are the detailed project Costs?

Your personal finances

Total of non G4 Freedom Investment Company

SECTION C – Financial Results

Years * Year Ending

SECTION D – Bank Account Details.

2) Have judgment entered against you in the county court? Yes/No ( )

4) Have you been adjudged bankrupt or subject or a personal

FOR OFFICE USE ONLY

Position: Head of Internal Processing Committee, re-

Loan Application Approval code

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