BHRCapital

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Application

Total Amount Requested ^* Reason for Request ^*

Applicant Information
Hotel Owner Legal Name ^*
DBA (if any)
Email ^*
Address ^*
City ^*
State ^*
ZIP/Postal Code ^*
Contact ^*
Phone ^*	- -
Fax ^*	- -
Type of Entity
Fed Tax # ^*
Years Hotel Owned ^*
Are Other Hotels Owned
How Many
Legal Name ^*

Hotel Information
Name ^*
Address ^*
City ^*
State
ZIP/Postal Code ^*
County ^*
Country
HOLIDEX Code
Location # ^*
Brand ^*
# Rooms ^*
Phone ^*	- -
Fax ^*	- -
Under Current Ownership Since ^*
Franchise License Exp. Date ^*

List All Stockholders and/or Partners
Name ^*
Title ^*
Address ^*
% Ownership ^*
U.S. Citizen
Home Phone ^*	- -
Fax ^*	- -
SS# ^*	- -
Name
Title
Address
% Ownership
U.S. Citizen
Home Phone	- -
Fax	- -
SS# ^*	- -
Name
Title
Address
% Ownership
U.S. Citizen
Home Phone	- -
Fax	- -
SS# ^*	- -
Name
Title
Address
% Ownership
U.S. Citizen
Home Phone	- -
Fax	- -
SS# ^*	- -

Bank Information
Bank Name ^*
Type of Account
Account Number ^*
Date Open ^*
Contact ^*
Phone ^*	- -
Fax ^*	- -

Lease / Finance / Credit References
Mortgage ^*
Contact ^*
Phone ^*	- -
Name
Contact
Phone	- -
Name
Contact
Phone	- -

We hereby authorize, and certify to you that each individual stockholder, member, partner, principal, guarantor and other potential obligor has authorized, banks, trades, credit bureaus, consumer credit reporting agencies, Six Continents Hotels, Inc. ("SCH") and its affiliates, and/or their designee(s), including all prospective lenders/lessors, to release, share and disclose credit, franchisee status and other financial and franchise information to BHR Capital®, and SCH, an/or their designee(s), including all prospective lenders/lessors, and we hereby release, indemnify, and hold harmless each such authorized party from any and all liability and expense in connection with any such release, sharing and disclosure. We also warrant the information on or accompanying this Application is true and complete, and we agree to notify you of any material change in any such information. We confirm that this Application is submitted in connection with financing solely for business and commercial purposes and NOT for personal, family or household purposes. Our lenders comply with Section 326 of the USA PATRIOT Act. This law mandates that we verify certain information about you while processing you account application. EQUAL CREDIT OPPORTUNITY ACT. If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain the statement, please contact BHR Capital® (bhrcapital@ichotelsgroup.com, 877-438-2472, or 770-604-5400) within 60 days from the date you are notified of our decision. We will send you a written statement of reasons for the denial with 30 days of receiving your request for the statement. 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 Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is the Office of the Comptroller of the Currency, Customer Assistance Group, 1301 McKinney Street, Suite 3710, Houston Texas 77010
Name ^*
Title
Additional Application Information
I certify that I am at least 18 years of age.

All financing subject to credit qualification; conditions and restrictions apply. All programs, terms and conditions subject to termination or change without notice. The registered mark BHR Capital® is licensed from Six Continents Hotels, Inc. ("SCH"), a member of the InterContinental Hotels Group. No lender nor lessor in connection with this program is affiliated with SCH or any of its affiliates. SCH may recover a portion of its initial financial contribution to the programs, but does not receive a fee or any other compensation in connection with the programs. SCH does not participate in any financing decision and shall not be liable for any failure to obtain financing, including, but not limited to, denial of any license application or inability to execute a license agreement with SCH.