3701 Wilshire Boulevard, Suite 310, Los Angeles, CA 90010Tel: (213) 355-8823 Fax: (213) 210-2079

CREDIT REQUESTEDAccount Requested Amount Requested Term Requested Loan Type

YearsWe intend to apply for joint credit; Purpose of Loan

Applicant Co-Applicant (Initial)COMPLETION INSTRUCTIONS FOR APPLICANT

APPLICANT INFORMATIONLegal Name of Business Applicant Tax ID Number Key Contact Person/Title

DBA Name (If applicable) Date Business Established Type of Business No. of Employees

Street Address City State Zip Code

Mailing Address City State Zip Code

Principal Office Address ( if not listed above) City State Zip Code

State of Organization Bus. Tel. Number Applicant is:

INFORMATION ON OWNERS AND GUARANTORS (Use Additional Sheet if Necessary)Name Home Phone No. SSN

Drivers License Number / State Date of Birth Title % Ownership U.S. Citizen? A#

Home Address City State Zip Code

Previous Address (If current address is less than three years) City State Zip Code

Name Home Phone No. SSN

Drivers License Number / State Date of Birth Title % Ownership U.S. Citizen? A#

Home Address City State Zip Code

Previous Address (If current address is less than three years) City State Zip Code

CURRENT BUSINESS LOANSName of Creditor Type of Loan Original Amount Current Balance Monthly Payment Original Date Maturity Date

$ $ $$ $ $$ $ $

BANKING RELATIONSHIPType of Account Financial Institution / Address Date Opened Account Number Balance

MARITAL STATUS: Provide the following marital status information only if you are applying for a joint or secured credit, or you live in a community propertystate or are relying on property located in such a state for repayment of the credit requested.

SBA Loan Application

Complete the Applicant information section. Mark the appropriate box to indicate whether the Applicant is applying as a Borrower, Cosigner, Guarantor,Grantor (of collateral), or Other for a different capacity. You may apply for credit in your name alone, regardless of marital status.

Applicant Only Joint with Co-Applicant(s)

Applicant Co-Applicant Guarantor Grantor Other: ________________

Married Separated Unmarried (Including single, divorced, and widowed)

An Individual A ProprietorshipA Trust

A PartnershipAn LLC

A Corporation

Applicant Co-Applicant Guarantor

Applicant Co-Applicant Guarantor

Yes No

tjf

Yes No

Line of CreditTerm Loan

SCHEDULE OF COLLATERAL OFFERED BY THIS APPLICANTDescription Value Prior Liens Ownership Status Creditor Name

$ $Description Value Prior Liens Ownership Status Creditor Name

$ $Description Value Prior Liens Ownership Status Creditor Name

$ $QUESTIONSAre there any outstanding judgments against the business/principal/owner?Has the business/principal/owner ever declared bankruptcy in the last 10 years?Has the principal/owner had property foreclosed in the last 7 years?Is the business/principal/owner party to any claim or lawsuit?

If yes to any of the above questions, explain: ___________________________________________________________________________Does the applicant/principal/owner currently have, or has ever requested government financing?Does the borrower/principal/owner currently have interests in other business(es)?SIGNATURES (Attach a separate sheet if necessary)

By signing and delivering this application, the undersigned hereby irrevocably authorizes Pacific City Bank to file one or more financing statements, form UCC-1, covering the collateral described below:

( ____________ initial)Applicant / Guarantor Signature Print Name & Title Date

Applicant / Guarantor Signature Print Name & Title Date

Applicant / Guarantor Signature Print Name & Title Date

NOTICE (RIGHT TO RECEIVE SPECIFIC REASONS FOR CREDIT DENIAL - BUSINESS CREDIT)Were your gross annual revenues in the previous fiscal year $1,000,000.00 or less?

NOTICE TO APPLICANT OF RIGHT TO RECEIVE COPY OF APPRAISAL

The Applicant/Guarantor named above certifies that all information provided is complete, true and correct and authorizes Pacific City Bank to obtain credit reports, including consumer credit reports, to checkthe credit rating of the Applicant/Guarantor. Applicant/Guarantor authorizes the references indicated herein to release credit information to Pacific City Bank. Applicant/Guarantor authorizes Pacific City Bankto give information regarding the bank's credit experience with Applicant/Guarantor to other persons, including credit reporting agencies, if this credit is granted.

If the collateral which will secure this loan is a nonresidential real property, under Section 11423 of the California Business and Professions Code, you have a right to a copy of the appraisal report obtained bythis Bank in support of your application for credit, provided that you have paid for the appraisal and the cost of duplicating the appraisal. In order to obtain a copy of your appraisal report write us at the addressshown on above. We must hear from you no later than ninety (90) days after we notify you about the action taken on your credit application, including notice of an incomplete application. If you withdraw yourapplication, you must make your request for an appraisal report within ninety (90) days of the withdrawal. If you request a copy of your appraisal report and you have paid for the costs of the appraisal, we willsend you a copy at the address shown on your loan application. You are only entitled to receive a copy of the appraisal for purposes of evaluating your pending request for an extension of credit with this Bank.

Each person signing below for the Applicant certifies that he/she is signing on behalf of the Applicant in the capacity indicated next to the signer's name that such signer is authorized to execute this SBA LoanApplication on behalf of the Applicant.

NOTE: If the Applicant is a corporation, this Application must be signed by the President or Chairman of the Board or any Vice President and one of the following: Secretary, Assistant Secretary, ChiefFinancial Officer, or Assistant Treasurer. If the Applicant is a partnership, this Application must be signed by all general partners. If the Applicant is a sole proprietorship, this Application must be signed by theowner. If the Applicant is an unincorporated association, this Application must be signed by all members. If the Applicant is the trustee under a trust agreement, this application must be signed by all trustees. Ifthe Applicant is a Limited Liability Company, this application must be signed by all members or, if appropriate, all managers. If the Applicant is a Limited Liability Partnership, this application must be signed byall partners or, if appropriate, all managers. Each person signing this application must indicate the capacity in which he/she is signing in the space labeled "Title".

All inventory, equipment, accounts (including but not limited to all health-care insurance receivables), chattel paper, instruments (including but not limited to all promissory notes), letter-of-credit rights, lettersof credit, documents, deposit accounts, investment property, money, other rights to payment and performance, and general intangibles (including but not limited to all software and all payment intangibles); alloil, gas and other minerals before extraction; all oil, gas, other minerals and accounts constituting as-extracted collateral; all fixtures; all timber to be cut; all attachments, accessions, accessories, fittingsincreases, tools, parts, repairs, supplies, and commingled goods relating to the foregoing property, and all additions, replacements of and substitutions for all or part of the foregoing property; all insurancerefunds relating to the foregoing property; all good will relating to the foregoing property; all records and data and embedded software relating to the foregoing property, and all equipment, inventory and software to utilize, create, maintain and process any such records and data on electronic media; and and all supporting obligations relating to the foregoing property; all whether now existing or hereafterarising, whether now owned or hereafter acquired or whether now or hereafter subject to rights in the foregoing property; and all products and proceeds (including but not limited to all insurance payments) ofor relating to the foregoing property; whether any of the foregoing is owned now or acquired later; all accessions, additions, replacements, and substitutions relating to any of the foregoing; all records of anykind relating to any of the foregoing; all proceeds relating to any of the foregoing (including insurance, general intangibles and accounts proceeds).

If you answered yes and your application is denied, you have the right to receive a written statement of the specific reasons for this denial. To obtain the statement, please contact the SBA Department atPacific City Bank, 3701 Wilshire Blvd., Suite 402, Los Angeles, CA 90010 Tel: (213) 210-2000 within 60 days from the date that you were notified of the decision. We will send you a written statement ofreasons for the denial within 30 days of receiving your request for the statement. The notice below describes additional protections extended to you.

NOTICES: 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 theapplicant 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 anyright under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this credit is the FEDERAL DEPOSIT INSURANCE CORPORATION, ConsumerResponse Center, 2345 Grand Blvd., Suite 100, Kansas City, Missouri 64108.

If the collateral which will secure this loan is a 1-4 family residence, you have the right to a copy of the appraisal used in connection with your application for credit. If you wish to have a copy, please write to usat SBA Department at Pacific City Bank, 3701 Wilshire Blvd., Suite 402, Los Angeles, CA 90010. We must hear from you no later than ninety (90) days after we notify you about the action taken on your creditapplication no later than ninety (90) days after you withdraw your application.

Being Acquired Presently Owned

Presently Owned

Presently Owned

Yes NoYes NoYes NoYes No

Yes NoYes No

Yes No

Being Acquired

Being Acquired

OMB APPROVAL NO. 3245-0188 EXPIRATION DATE:3/31/2008

PERSONAL FINANCIAL STATEMENT

U.S. SMALL BUSINESS ADMINISTRATION As of ,

Complete this form for: (1) each proprietor, or (2) each limited partner who owns 20% or more interest and each general partner, or (3) each stockholder owning20% or more of voting stock, or (4) any person or entity providing a guaranty on the loan.

Name Business Phone

Residence Address Residence Phone

City, State, & Zip Code

Business Name of Applicant/Borrower

ASSETS

Cash on hand & in Banks

Savings Accounts

IRA or Other Retirement Account

Accounts & Notes Receivable

Life Insurance-Cash Surrender Value Only (Complete Section 8)

Stocks and Bonds (Describe in Section 3)

Real Estate (Describe in Section 4)

Automobile-Present Value

Other Personal Property (Describe in Section 5)

Other Assets (Describe in Section 5)

Total Section 1. Source of Income

Salary

Net Investment Income

Real Estate Income

Other Income (Describe below)*

Description of Other Income in Section 1.

(Omit Cents) LIABILITIES (Omit Cents)

$ Accounts Payable $

$ Notes Payable to Banks and Others $

$ (Describe in Section 2)

$ Installment Account (Auto) $

$ Mo. Payments $

Installment Account (Other) $ $ Mo. Payments $

Loan on Life Insurance $

$ Mortgages on Real Estate $

(Describe in Section 4) $ Unpaid Taxes $

$ (Describe in Section 6)

Other Liabilities $

$ (Describe in Section 7)

Total Liabilities $

Net Worth $

$ Total $

Contingent Liabilities

$ As Endorser or Co-Maker $

$ Legal Claims & Judgments $

$ Provision for Federal Income Tax $

$ Other Special Debt $

*Alimony or child support payments need not be disclosed in "Other Income" unless it is desired to have such payments counted toward total income.

(Use attachments if necessary. Each attachment must be identified as a part of this statement and signed.)Section 2. Notes Payable to Banks and Others.

Original Current Payment Frequency How Secured or EndorsedName and Address of Noteholder(s) Balance Balance Amount (monthly,etc.) Type of Collateral

SBA Form 413 (3-05) Previous Editions Obsolete (tumble) This form was electronically produced by Elite Federal Forms, Inc.

Section 3. Stocks and Bonds. (Use attachments if necessary. Each attachment must be identified as a part of this statement and signed).

Number of Shares Name of Securities Cost Market Value Date of Total ValueQuotation/Exchange Quotation/Exchange

Section 4. Real Estate Owned. (List each parcel separately. Use attachment if necessary. Each attachment must be identified as a part of this statement and signed.)

Property A Property B Property C

Type of Property

Address

Date Purchased

Original Cost

Present Market Value

Name &Address of Mortgage Holder

Mortgage Account Number

Mortgage Balance

Amount of Payment per Month/Year

Status of Mortgage

(Describe, and if any is pledged as security, state name and address of lien holder, amount of lien, terms

Section 5. Other Personal Property and Other Assets. of payment and if delinquent, describe delinquency)

Section 6. Unpaid Taxes. (Describe in detail, as to type, to whom payable, when due, amount, and to what property, if any, a tax lien attaches.)

Section 7. Other Liabilities. (Describe in detail.)

Section 8. Life Insurance Held. (Give face amount and cash surrender value of policies - name of insurance company and beneficiaries)

I authorize SBA/Lender to make inquiries as necessary to verify the accuracy of the statements made and to determine my creditworthiness. I certify the above and the statements contained in the attachments are true and accurate as of the stated date(s). These statements are made for the purpose of either obtaining a loan or guaranteeing a loan. I understand FALSE statements may result in forfeiture of benefits and possible prosecution by the U.S. Attorney General (Reference 18 U.S.C. 1001).

Signature: Date: Social Security Number:

Signature: Date: Social Security Number:

PLEASE NOTE: The estimated average burden hours for the completion of this form is 1.5 hours per response. If you have questions or comments concerning this estimate or any other aspect of this information, please contact Chief, Administrative Branch, U.S. Small Business Administration, Washington, D.C. 20416, and Clearance Officer, Paper Reduction Project (3245-0188), Office of Management and Budget, Washington, D.C. 20503. PLEASE DO NOT SEND FORMS TO OMB.

Return Executed Copies 1, 2, and 3 to SBA

United States of America

SMALL BUSINESS ADMINISTRATION

STATEMENT OF PERSONAL HISTORY

OMB APPROVAL NO.3245-0178Expiration Date:9/30/2006

Please Read Carefully - Print or TypeEach member of the small business or the development company requesting assistancemust submit this form in TRIPLICATE for filing with the SBA application. This form mustbe filled out and submitted by:

Name and Address of Applicant (Firm Name)(Street, City, State, and ZIP Code) SBA District/Disaster Area Office

Amount Applied for (when applicable) File No. (if known)

1. Personal Statement of: (State name in full, if no middle name, state (NMN), or if initialonly, indicate initial.) List all former names used, and dates each name was used. Use separate sheet if necessary.

First Middle Last

2. Give the percentage of ownership or stocked owned

3. Date of Birth (Month, day, and year)

4. Place of Birth: (City & State or Foreign Country)

U.S. Citizen? YES NO

If non- U.S. citizen provide alien registration number:

Address:

Present residence address:From:

To:

Home Telephone No. (Include A/C):Business Telephone No. (Include A/C):

Address:

Most recent prior address (omit if over 10 years ago):

From:

To:

PLEASE SEE REVERSE SIDE FOR EXPLANATION REGARDING DISCLOSURE OF INFORMATION AND THE USES OF SUCH INFORMATION.

IT IS IMPORTANT THAT THE NEXT THREE QUESTIONS BE ANSWERED COMPLETELY. AN ARREST OR CONVICTION RECORD WILL NOTNECESSARILY DISQUALIFY YOU; HOWEVER, AN UNTRUTHFUL ANSWER WILL CAUSE YOUR APPLICATION TO BE DENIED.

IF YOU ANSWER "YES" TO 7, 8, OR 9, FURNISH DETAILS ON A SEPARATE SHEET. INCLUDE DATES, LOCATION, FINES, SENTENCES, WHETHERMISDEMEANOR OR FELONY, DATES OF PAROLE/PROBATION, UNPAID FINES OR PENALTIES, NAME(S) UNDER WHICH CHARGED, AND ANYOTHER PERTINENT INFORMATION.

7. Are you presently under indictment, on parole or probation?

Yes No (If yes, indicate date parole or probation is to expire.)

8. Have you ever been charged with and or arrested for any criminal offense other than a minor motor vehicle violation? Include offenses which have been dismissed, discharged, or not prosecuted (All arrests and charges must be disclosed and explained on an attached sheet.)

Yes No

9. Have you ever been convicted, placed on pretrial diversion, or placed on any form of probation, including adjudication withheld pending probation, for any criminal offense other than a minor vehicle violation?

Yes No

10. I authorize the Small Business Administration Office of Inspector General to request criminal record information about me from criminal justice agencies for the purpose ofdetermining my eligibility for programs authorized by the Small Business Act, and the Small Business Investment Act.

CAUTION: Knowingly making a false statement on this form is a violation of Federal law and could result in criminal prosecution, significant civil penalties, and a denial of your loan,surety bond, or other program participation. A false statement is punishable under 18 USC 1001 by imprisonment of not more than five years and/or a fine of not more than $10,000;under 15 USC 645 by imprisonment of not more than two years and/or a fine of not more than $5,000; and, if submitted to a Federally insured institution, under 18 USC 1014 byimprisonment of not more than thirty years and/or a fine of not more than $1,000,000.

Signature Title Date

Agency Use OnlyFingerprints Waived

Date Approving Authority

Fingerprints Required

Date Sent to OIGDate Approving Authority

11.Cleared for Processing

Request a Character EvaluationApproving Authority

12.

SBA 912 (10-03) SOP 5010.4 Previous Edition Obsolete This form was electronically produced by Elite Federal Forms, Inc.

1.

2.

3.

By the proprietor, if a sole proprietorship.

By each partner, if a partnership.

By each officer, director, and additionally by each holder of 20% or more of theownership stock, if a corporation, limited liability company, or a development company.

PLEASE NOTE: The estimated burden for completing this form is 15 minutes per re sponse. You are not required to respond to any collection of information un less it displays a currently valid OMBapproval number. Comments on the burden should be sent to U.S. Small Business Administration, Chief, AIB, 409 3rd St., S.W., Washington D.C. 20416 and Desk Officer for the Small BusinessAdministration, Office of Management and Budget, New Executive Office Building, Room 10202, Washington, D.C. 20503. OMB Approval 3245-0178. PLEASE DO NOT SEND FORMS TO OMB.

Social Security No.or to be owned in the small business or thedevelopment company

Name and Address of participating lender or surety co. (when applicable and known)If No, are you a LawfulPermanent resident alien:

YES NO

6.

5.

13.

(Required whenever 7, 8 or 9 are answered "yes" even if cleared for processing.)

Date

Date Approving Authority

Return Executed Copies 1, 2, and 3 to SBA

United States of America

SMALL BUSINESS ADMINISTRATION

STATEMENT OF PERSONAL HISTORY

OMB APPROVAL NO.3245-0178Expiration Date:9/30/2006

Please Read Carefully - Print or TypeEach member of the small business or the development company requesting assistancemust submit this form in TRIPLICATE for filing with the SBA application. This form mustbe filled out and submitted by:

Name and Address of Applicant (Firm Name)(Street, City, State, and ZIP Code) SBA District/Disaster Area Office

Amount Applied for (when applicable) File No. (if known)

1. Personal Statement of: (State name in full, if no middle name, state (NMN), or if initialonly, indicate initial.) List all former names used, and dates each name was used. Use separate sheet if necessary.

First Middle Last

2. Give the percentage of ownership or stocked owned

3. Date of Birth (Month, day, and year)

4. Place of Birth: (City & State or Foreign Country)

U.S. Citizen? YES NO

If non- U.S. citizen provide alien registration number:

Address:

Present residence address:From:

To:

Home Telephone No. (Include A/C):Business Telephone No. (Include A/C):

Address:

Most recent prior address (omit if over 10 years ago):

From:

To:

PLEASE SEE REVERSE SIDE FOR EXPLANATION REGARDING DISCLOSURE OF INFORMATION AND THE USES OF SUCH INFORMATION.

IT IS IMPORTANT THAT THE NEXT THREE QUESTIONS BE ANSWERED COMPLETELY. AN ARREST OR CONVICTION RECORD WILL NOTNECESSARILY DISQUALIFY YOU; HOWEVER, AN UNTRUTHFUL ANSWER WILL CAUSE YOUR APPLICATION TO BE DENIED.

IF YOU ANSWER "YES" TO 7, 8, OR 9, FURNISH DETAILS ON A SEPARATE SHEET. INCLUDE DATES, LOCATION, FINES, SENTENCES, WHETHERMISDEMEANOR OR FELONY, DATES OF PAROLE/PROBATION, UNPAID FINES OR PENALTIES, NAME(S) UNDER WHICH CHARGED, AND ANYOTHER PERTINENT INFORMATION.

7. Are you presently under indictment, on parole or probation?

Yes No (If yes, indicate date parole or probation is to expire.)

8. Have you ever been charged with and or arrested for any criminal offense other than a minor motor vehicle violation? Include offenses which have been dismissed, discharged, or not prosecuted (All arrests and charges must be disclosed and explained on an attached sheet.)

Yes No

9. Have you ever been convicted, placed on pretrial diversion, or placed on any form of probation, including adjudication withheld pending probation, for any criminal offense other than a minor vehicle violation?

Yes No

10. I authorize the Small Business Administration Office of Inspector General to request criminal record information about me from criminal justice agencies for the purpose ofdetermining my eligibility for programs authorized by the Small Business Act, and the Small Business Investment Act.

CAUTION: Knowingly making a false statement on this form is a violation of Federal law and could result in criminal prosecution, significant civil penalties, and a denial of your loan,surety bond, or other program participation. A false statement is punishable under 18 USC 1001 by imprisonment of not more than five years and/or a fine of not more than $10,000;under 15 USC 645 by imprisonment of not more than two years and/or a fine of not more than $5,000; and, if submitted to a Federally insured institution, under 18 USC 1014 byimprisonment of not more than thirty years and/or a fine of not more than $1,000,000.

Signature Title Date

Agency Use OnlyFingerprints Waived

Date Approving Authority

Fingerprints Required

Date Sent to OIGDate Approving Authority

11.Cleared for Processing

Request a Character EvaluationApproving Authority

12.

SBA 912 (10-03) SOP 5010.4 Previous Edition Obsolete This form was electronically produced by Elite Federal Forms, Inc.

1.

2.

3.

By the proprietor, if a sole proprietorship.

By each partner, if a partnership.

By each officer, director, and additionally by each holder of 20% or more of theownership stock, if a corporation, limited liability company, or a development company.

PLEASE NOTE: The estimated burden for completing this form is 15 minutes per re sponse. You are not required to respond to any collection of information un less it displays a currently valid OMBapproval number. Comments on the burden should be sent to U.S. Small Business Administration, Chief, AIB, 409 3rd St., S.W., Washington D.C. 20416 and Desk Officer for the Small BusinessAdministration, Office of Management and Budget, New Executive Office Building, Room 10202, Washington, D.C. 20503. OMB Approval 3245-0178. PLEASE DO NOT SEND FORMS TO OMB.

Social Security No.or to be owned in the small business or thedevelopment company

Name and Address of participating lender or surety co. (when applicable and known)If No, are you a LawfulPermanent resident alien:

YES NO

6.

5.

13.

(Required whenever 7, 8 or 9 are answered "yes" even if cleared for processing.)

Date

Date Approving Authority

Date

Signature

Duties

Title From To

Company Name/Location

Duties

Title From To

Company Name/Location

Duties

Title From To

Company Name/Location

WORK EXPERIENCE: List chronologically beginning with present employment.

Dates of Service Branch of ServiceMILITARY SERVICE BACKGROUND:

Degree/CertificateMajorDates Attended High School/College/Technical-Name/LocationEDUCATION:

IF NO, GIVE ALIEN REGISTRATION NUMBER ARE YOU A U.S. CITIZEN?

AGENCY/POSITION ARE YOU EMPLOYED BY THE U.S. GOVERNMENT?

SS# SPOUSE'S NAME

TO FROM

PREVIOUS ADDRESS

TO PRESENT DATE FROM

RESIDENCE ADDRESS

BUSINESS TELEPHONE RESIDENCE TELEPHONE

PLACE OF BIRTH DATE OF BIRTH

SS# NAME

PERSONAL INFORMATION:

include additional relevant information on a separate exhibit. SIGN/DATE where indicated.Please fill in all spaces. If an item is not applicable, please indicate as such. You may

MANAGEMENT RESUME

Yes No

Yes No

Wolters Kluwer Financial Services, St. Cloud, MN

Date

Signature

Duties

Title From To

Company Name/Location

Duties

Title From To

Company Name/Location

Duties

Title From To

Company Name/Location

WORK EXPERIENCE: List chronologically beginning with present employment.

Dates of Service Branch of ServiceMILITARY SERVICE BACKGROUND:

Degree/CertificateMajorDates Attended High School/College/Technical-Name/LocationEDUCATION:

IF NO, GIVE ALIEN REGISTRATION NUMBER ARE YOU A U.S. CITIZEN?

AGENCY/POSITION ARE YOU EMPLOYED BY THE U.S. GOVERNMENT?

SS# SPOUSE'S NAME

TO FROM

PREVIOUS ADDRESS

TO PRESENT DATE FROM

RESIDENCE ADDRESS

BUSINESS TELEPHONE RESIDENCE TELEPHONE

PLACE OF BIRTH DATE OF BIRTH

SS# NAME

PERSONAL INFORMATION:

include additional relevant information on a separate exhibit. SIGN/DATE where indicated.Please fill in all spaces. If an item is not applicable, please indicate as such. You may

MANAGEMENT RESUME

Yes No

Yes No

Wolters Kluwer Financial Services, St. Cloud, MN

INSTRUCTIONS TO PRINTERSFORM 4506, PAGE 1 of 2MARGINS: TOP 13 mm (1⁄2 "), CENTER SIDES. PRINTS: HEAD to HEADPAPER: WHITE WRITING, SUB. 20. INK: BLACKFLAT SIZE: 216 mm (81⁄2 ") � 279 mm (11")PERFORATE: NONE

4506-TFormRequest for Transcript of Tax Return

OMB No. 1545-1872

(Rev. April 2006)

� Do not sign this form unless all applicable lines have been completed.Read the instructions on page 2.

Department of the TreasuryInternal Revenue Service

� Request may be rejected if the form is incomplete, illegible, or any requiredline was blank at the time of signature.

First social security number on tax return oremployer identification number (see instructions)

1a 1bName shown on tax return. If a joint return, enter the name shown first.

If a joint return, enter spouse’s name shown on tax return2a Second social security number if joint tax return2b

Current name, address (including apt., room, or suite no.), city, state, and ZIP code3

Form 4506-T (Rev. 4-2006)Cat. No. 37667NFor Privacy Act and Paperwork Reduction Act Notice, see page 2.

1I.R.S. SPECIFICATIONS TO BE REMOVED BEFORE PRINTING

DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

TLS, have youtransmitted all Rtext files for thiscycle update?

Date

Action

Revised proofsrequested

Date Signature

O.K. to print

Previous address shown on the last return filed if different from line 34

Caution: If a third party requires you to complete Form 4506-T, do not sign Form 4506-T if lines 6 and 9 are blank.

If the transcript or tax information is to be mailed to a third party (such as a mortgage company), enter the third party’s name, address,and telephone number. The IRS has no control over what the third party does with the tax information.

5

6

9 Year or period requested. Enter the ending date of the year or period, using the mm/dd/yyyy format. If you are requesting more than fouryears or periods, you must attach another Form 4506-T. For requests relating to quarterly tax returns, such as Form 941, you must entereach quarter or tax period separately.

Telephone number of taxpayer online 1a or 2a

SignHere

( )

DateSignature (see instructions)

Title (if line 1a above is a corporation, partnership, estate, or trust)

��

Signature of taxpayer(s). I declare that I am either the taxpayer whose name is shown on line 1a or 2a, or a person authorized to obtain the taxinformation requested. If the request applies to a joint return, either husband or wife must sign. If signed by a corporate officer, partner,guardian, tax matters partner, executor, receiver, administrator, trustee, or party other than the taxpayer, I certify that I have the authority toexecute Form 4506-T on behalf of the taxpayer.

Spouse’s signature� Date

Tip: Use Form 4506-T to order a transcript or other return information free of charge. See the product list below. You can also call 1-800-829-1040 toorder a transcript. If you need a copy of your return, use Form 4506, Request for Copy of Tax Return. There is a fee to get a copy of your return.

/ / / / / / / /

Transcript requested. Enter the tax form number here (1040, 1065, 1120, etc.) and check the appropriate box below. Enter only one tax

form number per request. �

a

b

c

7

8

Return Transcript, which includes most of the line items of a tax return as filed with the IRS. Transcripts are only available forthe following returns: Form 1040 series, Form 1065, Form 1120, Form 1120A, Form 1120H, Form 1120L, and Form 1120S.Return transcripts are available for the current year and returns processed during the prior 3 processing years. Most requestswill be processed within 10 business days

Account Transcript, which contains information on the financial status of the account, such as payments made on the account, penaltyassessments, and adjustments made by you or the IRS after the return was filed. Return information is limited to items such as tax liabilityand estimated tax payments. Account transcripts are available for most returns. Most requests will be processed within 30 calendar days

Record of Account, which is a combination of line item information and later adjustments to the account. Available for current yearand 3 prior tax years. Most requests will be processed within 30 calendar days

Verification of Nonfiling, which is proof from the IRS that you did not file a return for the year. Most requests will be processedwithin 10 business days

Form W-2, Form 1099 series, Form 1098 series, or Form 5498 series transcript. The IRS can provide a transcript that includes data fromthese information returns. State or local information is not included with the Form W-2 information. The IRS may be able to provide thistranscript information for up to 10 years. Information for the current year is generally not available until the year after it is filed with the IRS.For example, W-2 information for 2003, filed in 2004, will not be available from the IRS until 2005. If you need W-2 information for retirementpurposes, you should contact the Social Security Administration at 1-800-772-1213. Most requests will be processed within 45 days

Caution: If you need a copy of Form W-2 or Form 1099, you should first contact the payer. To get a copy of the Form W-2 or Form 1099filed with your return, you must use Form 4506 and request a copy of your return, which includes all attachments.

INSTRUCTIONS TO PRINTERSFORM 4506-T, PAGE 2 of 2MARGINS: TOP 13 mm (1⁄2 "), CENTER SIDES. PRINTS: HEAD to HEADPAPER: WHITE WRITING, SUB. 20. INK: BLACKFLAT SIZE: 216 mm (81⁄2 ") � 279 mm (11")PERFORATE: NONE

Page 2Form 4506-T (Rev. 4-2006)

Mail or fax to the“Internal RevenueService” at:

If you filed anindividual returnand lived in:

RAIVS TeamStop 679Andover, MA 05501

978-247-9255

District of Columbia,Maine, Maryland,Massachusetts,New Hampshire,New York,Vermont

RAIVS TeamP.O. Box 47-421Stop 91Doraville, GA 30362

678-530-5326

Alabama, Delaware,Florida, Georgia,North Carolina, Rhode Island,South Carolina,Virginia

RAIVS Team Stop 6716 AUSC Austin, TX 73301

Arkansas, Kansas,Kentucky, Louisiana,Mississippi,Oklahoma,Tennessee, Texas,West Virginia

If you have comments concerning theaccuracy of these time estimates orsuggestions for making Form 4506-Tsimpler, we would be happy to hear fromyou. You can write to the Internal RevenueService, Tax Products CoordinatingCommittee, SE:W:CAR:MP:T:T:SP, 1111Constitution Ave. NW, IR-6406,Washington, DC 20224. Do not send theform to this address. Instead, see Where tofile on this page.

Privacy Act and Paperwork ReductionAct Notice. We ask for the information onthis form to establish your right to gainaccess to the requested tax informationunder the Internal Revenue Code. We needthis information to properly identify the taxinformation and respond to your request.Sections 6103 and 6109 require you toprovide this information, including yourSSN or EIN. If you do not provide thisinformation, we may not be able toprocess your request. Providing false orfraudulent information may subject you topenalties.

The time needed to complete and fileForm 4506-T will vary depending onindividual circumstances. The estimatedaverage time is: Learning about the lawor the form, 10 min.; Preparing the form,12 min.; and Copying, assembling, andsending the form to the IRS, 20 min.

1I.R.S. SPECIFICATIONS TO BE REMOVED BEFORE PRINTING

DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

You are not required to provide theinformation requested on a form that issubject to the Paperwork Reduction Actunless the form displays a valid OMBcontrol number. Books or records relatingto a form or its instructions must beretained as long as their contents maybecome material in the administration ofany Internal Revenue law. Generally, taxreturns and return information areconfidential, as required by section 6103.

General InstructionsPurpose of form. Use Form 4506-T torequest tax return information. You canalso designate a third party to receive theinformation. See line 5.

Signature and date. Form 4506-T must besigned and dated by the taxpayer listed online 1a or 2a. If you completed line 5requesting the information be sent to athird party, the IRS must receive Form4506-T within 60 days of the date signedby the taxpayer or it will be rejected.

Individuals. Transcripts of jointly filedtax returns may be furnished to eitherspouse. Only one signature is required.Sign Form 4506-T exactly as your nameappeared on the original return. If youchanged your name, also sign your currentname.

Corporations. Generally, Form 4506-Tcan be signed by: (1) an officer havinglegal authority to bind the corporation, (2)any person designated by the board ofdirectors or other governing body, or (3)any officer or employee on written requestby any principal officer and attested to bythe secretary or other officer.

Partnerships. Generally, Form 4506-Tcan be signed by any person who was amember of the partnership during any partof the tax period requested on line 9.

All others. See Internal Revenue Codesection 6103(e) if the taxpayer has died, isinsolvent, is a dissolved corporation, or if atrustee, guardian, executor, receiver, oradministrator is acting for the taxpayer.

Where to file. Mail or fax Form 4506-T tothe address below for the state you lived inwhen that return was filed. There are twoaddress charts: one for individualtranscripts (Form 1040 series and FormW-2) and one for all other transcripts.Note. If you are requesting more than onetranscript or other product and the chartbelow shows two different service centers,mail your request to the service centerbased on the address of your most recentreturn.

Chart for individualtranscripts (Form 1040 seriesand Form W-2)

RAIVS TeamStop 38101 Fresno, CA 93888

559-253-4990

Alaska, Arizona,California, Colorado,Hawaii, Idaho,Montana, Nebraska,Nevada, New Mexico,Oregon, SouthDakota, Utah,Washington,Wyoming

RAIVS TeamStop 6705–B41Kansas City, MO 64999

816-823-7667

Connecticut, Illinois,Indiana, Iowa,Michigan,Minnesota, Missouri,North Dakota, Ohio,Wisconsin

RAIVS Team DP 135SE Philadelphia, PA19255-0695

215-516-2931

New Jersey,Pennsylvania, aforeign country, orA.P.O. or F.P.O.address

Mail or fax to the“Internal RevenueService” at:

RAIVS Team P.O. Box 9941Mail Stop 6734 Ogden, UT 84409

801-620-6922

Alabama, Alaska,Arizona, Arkansas,California, Colorado,Florida, Georgia,Hawaii, Idaho, Iowa,Kansas, Louisiana,Minnesota,Mississippi,Missouri, Montana,Nebraska, Nevada,New Mexico, North Dakota,Oklahoma, Oregon, South Dakota,Tennessee, Texas,Utah, Washington,Wyoming

Connecticut,Delaware, District ofColumbia, Illinois,Indiana, Kentucky,Maine, Maryland,Massachusetts,Michigan, NewHampshire, NewJersey, New York,North Carolina,Ohio, Pennsylvania,Rhode Island, SouthCarolina, Vermont,Virginia, WestVirginia, Wisconsin

RAIVS TeamP.O. Box 145500Stop 2800 F Cincinnati, OH 45250

859-669-3592

Chart for all other transcripts

Documentation. For entities other thanindividuals, you must attach theauthorization document. For example, thiscould be the letter from the principal officerauthorizing an employee of the corporationor the Letters Testamentary authorizing anindividual to act for an estate.

Line 1b. Enter your employer identificationnumber (EIN) if your request relates to abusiness return. Otherwise, enter the firstsocial security number (SSN) shown on thereturn. For example, if you are requestingForm 1040 that includes Schedule C(Form 1040), enter your SSN.

Routine uses of this information includegiving it to the Department of Justice forcivil and criminal litigation, and cities,states, and the District of Columbia for usein administering their tax laws. We mayalso disclose this information to othercountries under a tax treaty, to federal andstate agencies to enforce federal nontaxcriminal laws, or to federal lawenforcement and intelligence agencies tocombat terrorism.

Tip. Use Form 4506, Request for Copy ofTax Return, to request copies of taxreturns.

Line 6. Enter only one tax form number perrequest.

If you lived in oryour businesswas in:

512-460-2272

RAIVS Team DP 135SE Philadelphia, PA19255-0695

215-516-2931

A foreign country, orA.P.O. or F.P.O.address

INSTRUCTIONS TO PRINTERSFORM 4506, PAGE 1 of 2MARGINS: TOP 13 mm (1⁄2 "), CENTER SIDES. PRINTS: HEAD to HEADPAPER: WHITE WRITING, SUB. 20. INK: BLACKFLAT SIZE: 216 mm (81⁄2 ") � 279 mm (11")PERFORATE: NONE

4506-TFormRequest for Transcript of Tax Return

OMB No. 1545-1872

(Rev. April 2006)

� Do not sign this form unless all applicable lines have been completed.Read the instructions on page 2.

Department of the TreasuryInternal Revenue Service

� Request may be rejected if the form is incomplete, illegible, or any requiredline was blank at the time of signature.

First social security number on tax return oremployer identification number (see instructions)

1a 1bName shown on tax return. If a joint return, enter the name shown first.

If a joint return, enter spouse’s name shown on tax return2a Second social security number if joint tax return2b

Current name, address (including apt., room, or suite no.), city, state, and ZIP code3

Form 4506-T (Rev. 4-2006)Cat. No. 37667NFor Privacy Act and Paperwork Reduction Act Notice, see page 2.

1I.R.S. SPECIFICATIONS TO BE REMOVED BEFORE PRINTING

DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

TLS, have youtransmitted all Rtext files for thiscycle update?

Date

Action

Revised proofsrequested

Date Signature

O.K. to print

Previous address shown on the last return filed if different from line 34

Caution: If a third party requires you to complete Form 4506-T, do not sign Form 4506-T if lines 6 and 9 are blank.

If the transcript or tax information is to be mailed to a third party (such as a mortgage company), enter the third party’s name, address,and telephone number. The IRS has no control over what the third party does with the tax information.

5

6

9 Year or period requested. Enter the ending date of the year or period, using the mm/dd/yyyy format. If you are requesting more than fouryears or periods, you must attach another Form 4506-T. For requests relating to quarterly tax returns, such as Form 941, you must entereach quarter or tax period separately.

Telephone number of taxpayer online 1a or 2a

SignHere

( )

DateSignature (see instructions)

Title (if line 1a above is a corporation, partnership, estate, or trust)

��

Signature of taxpayer(s). I declare that I am either the taxpayer whose name is shown on line 1a or 2a, or a person authorized to obtain the taxinformation requested. If the request applies to a joint return, either husband or wife must sign. If signed by a corporate officer, partner,guardian, tax matters partner, executor, receiver, administrator, trustee, or party other than the taxpayer, I certify that I have the authority toexecute Form 4506-T on behalf of the taxpayer.

Spouse’s signature� Date

Tip: Use Form 4506-T to order a transcript or other return information free of charge. See the product list below. You can also call 1-800-829-1040 toorder a transcript. If you need a copy of your return, use Form 4506, Request for Copy of Tax Return. There is a fee to get a copy of your return.

/ / / / / / / /

Transcript requested. Enter the tax form number here (1040, 1065, 1120, etc.) and check the appropriate box below. Enter only one tax

form number per request. �

a

b

c

7

8

Return Transcript, which includes most of the line items of a tax return as filed with the IRS. Transcripts are only available forthe following returns: Form 1040 series, Form 1065, Form 1120, Form 1120A, Form 1120H, Form 1120L, and Form 1120S.Return transcripts are available for the current year and returns processed during the prior 3 processing years. Most requestswill be processed within 10 business days

Account Transcript, which contains information on the financial status of the account, such as payments made on the account, penaltyassessments, and adjustments made by you or the IRS after the return was filed. Return information is limited to items such as tax liabilityand estimated tax payments. Account transcripts are available for most returns. Most requests will be processed within 30 calendar days

Record of Account, which is a combination of line item information and later adjustments to the account. Available for current yearand 3 prior tax years. Most requests will be processed within 30 calendar days

Verification of Nonfiling, which is proof from the IRS that you did not file a return for the year. Most requests will be processedwithin 10 business days

Form W-2, Form 1099 series, Form 1098 series, or Form 5498 series transcript. The IRS can provide a transcript that includes data fromthese information returns. State or local information is not included with the Form W-2 information. The IRS may be able to provide thistranscript information for up to 10 years. Information for the current year is generally not available until the year after it is filed with the IRS.For example, W-2 information for 2003, filed in 2004, will not be available from the IRS until 2005. If you need W-2 information for retirementpurposes, you should contact the Social Security Administration at 1-800-772-1213. Most requests will be processed within 45 days

Caution: If you need a copy of Form W-2 or Form 1099, you should first contact the payer. To get a copy of the Form W-2 or Form 1099filed with your return, you must use Form 4506 and request a copy of your return, which includes all attachments.

INSTRUCTIONS TO PRINTERSFORM 4506-T, PAGE 2 of 2MARGINS: TOP 13 mm (1⁄2 "), CENTER SIDES. PRINTS: HEAD to HEADPAPER: WHITE WRITING, SUB. 20. INK: BLACKFLAT SIZE: 216 mm (81⁄2 ") � 279 mm (11")PERFORATE: NONE

Page 2Form 4506-T (Rev. 4-2006)

Mail or fax to the“Internal RevenueService” at:

If you filed anindividual returnand lived in:

RAIVS TeamStop 679Andover, MA 05501

978-247-9255

District of Columbia,Maine, Maryland,Massachusetts,New Hampshire,New York,Vermont

RAIVS TeamP.O. Box 47-421Stop 91Doraville, GA 30362

678-530-5326

Alabama, Delaware,Florida, Georgia,North Carolina, Rhode Island,South Carolina,Virginia

RAIVS Team Stop 6716 AUSC Austin, TX 73301

Arkansas, Kansas,Kentucky, Louisiana,Mississippi,Oklahoma,Tennessee, Texas,West Virginia

If you have comments concerning theaccuracy of these time estimates orsuggestions for making Form 4506-Tsimpler, we would be happy to hear fromyou. You can write to the Internal RevenueService, Tax Products CoordinatingCommittee, SE:W:CAR:MP:T:T:SP, 1111Constitution Ave. NW, IR-6406,Washington, DC 20224. Do not send theform to this address. Instead, see Where tofile on this page.

Privacy Act and Paperwork ReductionAct Notice. We ask for the information onthis form to establish your right to gainaccess to the requested tax informationunder the Internal Revenue Code. We needthis information to properly identify the taxinformation and respond to your request.Sections 6103 and 6109 require you toprovide this information, including yourSSN or EIN. If you do not provide thisinformation, we may not be able toprocess your request. Providing false orfraudulent information may subject you topenalties.

The time needed to complete and fileForm 4506-T will vary depending onindividual circumstances. The estimatedaverage time is: Learning about the lawor the form, 10 min.; Preparing the form,12 min.; and Copying, assembling, andsending the form to the IRS, 20 min.

1I.R.S. SPECIFICATIONS TO BE REMOVED BEFORE PRINTING

DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

You are not required to provide theinformation requested on a form that issubject to the Paperwork Reduction Actunless the form displays a valid OMBcontrol number. Books or records relatingto a form or its instructions must beretained as long as their contents maybecome material in the administration ofany Internal Revenue law. Generally, taxreturns and return information areconfidential, as required by section 6103.

General InstructionsPurpose of form. Use Form 4506-T torequest tax return information. You canalso designate a third party to receive theinformation. See line 5.

Signature and date. Form 4506-T must besigned and dated by the taxpayer listed online 1a or 2a. If you completed line 5requesting the information be sent to athird party, the IRS must receive Form4506-T within 60 days of the date signedby the taxpayer or it will be rejected.

Individuals. Transcripts of jointly filedtax returns may be furnished to eitherspouse. Only one signature is required.Sign Form 4506-T exactly as your nameappeared on the original return. If youchanged your name, also sign your currentname.

Corporations. Generally, Form 4506-Tcan be signed by: (1) an officer havinglegal authority to bind the corporation, (2)any person designated by the board ofdirectors or other governing body, or (3)any officer or employee on written requestby any principal officer and attested to bythe secretary or other officer.

Partnerships. Generally, Form 4506-Tcan be signed by any person who was amember of the partnership during any partof the tax period requested on line 9.

All others. See Internal Revenue Codesection 6103(e) if the taxpayer has died, isinsolvent, is a dissolved corporation, or if atrustee, guardian, executor, receiver, oradministrator is acting for the taxpayer.

Where to file. Mail or fax Form 4506-T tothe address below for the state you lived inwhen that return was filed. There are twoaddress charts: one for individualtranscripts (Form 1040 series and FormW-2) and one for all other transcripts.Note. If you are requesting more than onetranscript or other product and the chartbelow shows two different service centers,mail your request to the service centerbased on the address of your most recentreturn.

Chart for individualtranscripts (Form 1040 seriesand Form W-2)

RAIVS TeamStop 38101 Fresno, CA 93888

559-253-4990

Alaska, Arizona,California, Colorado,Hawaii, Idaho,Montana, Nebraska,Nevada, New Mexico,Oregon, SouthDakota, Utah,Washington,Wyoming

RAIVS TeamStop 6705–B41Kansas City, MO 64999

816-823-7667

Connecticut, Illinois,Indiana, Iowa,Michigan,Minnesota, Missouri,North Dakota, Ohio,Wisconsin

RAIVS Team DP 135SE Philadelphia, PA19255-0695

215-516-2931

New Jersey,Pennsylvania, aforeign country, orA.P.O. or F.P.O.address

Mail or fax to the“Internal RevenueService” at:

RAIVS Team P.O. Box 9941Mail Stop 6734 Ogden, UT 84409

801-620-6922

Alabama, Alaska,Arizona, Arkansas,California, Colorado,Florida, Georgia,Hawaii, Idaho, Iowa,Kansas, Louisiana,Minnesota,Mississippi,Missouri, Montana,Nebraska, Nevada,New Mexico, North Dakota,Oklahoma, Oregon, South Dakota,Tennessee, Texas,Utah, Washington,Wyoming

Connecticut,Delaware, District ofColumbia, Illinois,Indiana, Kentucky,Maine, Maryland,Massachusetts,Michigan, NewHampshire, NewJersey, New York,North Carolina,Ohio, Pennsylvania,Rhode Island, SouthCarolina, Vermont,Virginia, WestVirginia, Wisconsin

RAIVS TeamP.O. Box 145500Stop 2800 F Cincinnati, OH 45250

859-669-3592

Chart for all other transcripts

Documentation. For entities other thanindividuals, you must attach theauthorization document. For example, thiscould be the letter from the principal officerauthorizing an employee of the corporationor the Letters Testamentary authorizing anindividual to act for an estate.

Line 1b. Enter your employer identificationnumber (EIN) if your request relates to abusiness return. Otherwise, enter the firstsocial security number (SSN) shown on thereturn. For example, if you are requestingForm 1040 that includes Schedule C(Form 1040), enter your SSN.

Routine uses of this information includegiving it to the Department of Justice forcivil and criminal litigation, and cities,states, and the District of Columbia for usein administering their tax laws. We mayalso disclose this information to othercountries under a tax treaty, to federal andstate agencies to enforce federal nontaxcriminal laws, or to federal lawenforcement and intelligence agencies tocombat terrorism.

Tip. Use Form 4506, Request for Copy ofTax Return, to request copies of taxreturns.

Line 6. Enter only one tax form number perrequest.

If you lived in oryour businesswas in:

512-460-2272

RAIVS Team DP 135SE Philadelphia, PA19255-0695

215-516-2931

A foreign country, orA.P.O. or F.P.O.address

BUSINESS DEBT SCHEDULE

COMPANY NAME: DATE:

This Schedule should contain loans for contracts and notes payable, not accounts payable or accrued liabilities.

Print Name & Signature Date

CREDITOR

Name/Address

Acct. #

ORIGINAL

DATE:

ORIGINAL

AMOUNT

PRESENT

BALANCE

INTEREST

RATE

MONTHLY

PAYMENT

MATURITY

DATE

COLLATER

SECURITY

TOTAL PRESENT BALANCE

USCIS Form G-845

Document Verification Request

Name

Street Address

City

State

Zip

Date of Birth

I authorize the U.S. Citizenship and Immigration Services to release information regarding my immigration

status to Pacific City Bank

Lender Name

Contact Person

Street Address

City, State and Zip

Phone

FAX

Signature Date

Pacific City Bank

3701 Wilshire Blvd. Ste 310

Los Angeles, CA 90010

213-355-8822

Wolters Kluwer Financial Services, St. Cloud, MN

because I am applying for a U.S. Small Business Loan.