LNS GROUP LLC Express Application

Phone: (732) 852.8630

https://LNSGROUPLLC.com/
Express Business Application

(for credit request up to $250,000)

General Information
Business Legal Name*
Doing Business As
Federal Tax ID
Business Start Date*

MonthDayYear
Date
Legal Entity?

Sole PropLLCS-CorpC-CorpOther
Business Phone*

Area CodePhone Number
Business Fax
Business Website
Credit Score*
NAICS Code*
Business Social Media Site
Physical Address
Mailing Address

Owner/Principal Information
Name*
Social Security #*
Date of Birth*

MonthDayYear
Date
Home Address*
Do own your home*
More than 2 years*
Mobile*

Area CodePhone Number
Email*
example@example.com
% of Ownership*
Annual Income*
Value of Retirement, Bank & Brokerage Account*
Driver License Number*
State of issue*
Expiration Date*

MonthDayYear
Date

Business Information
Business Description*
a brief description of your business
Renter or Owned*
Rent/Mortgage Amount*
Landlord/Mortgage Company Contact
Open Bankruptcy?*
Any Open Judgments?*
Any Tax Liens?*
Do you currently have any loans? If yes, what kinds and what is the balance?
Explain changes in Sales/Profit, or Debt (+/-10%)
How much Capital is being requested?*
What is the Capital being requested for?*
MCATerm LoanLine of CreditOther
Visa/MasterCard Monthly Volume
Repayment Terms:
Total Monthly Sales (All Forms of Revenue)*
Gross Annual Sales (Last year's Tax Return)*
Number of Customers
Is your business seasonal?

Yes.No.
What are your businesses growth plans for the next 3 to 5years?*
Broker? (Who referred you to us?)*
By signing this form, you are providing written instructions to LNS Group LLC/LNS Capital Partners under the Fair Credit Reporting Act

authorizing LNS Group/LNS Capital Partners to obtain from your personal credit profile or other information from MicroBilt. You

authorize LNS Group/LNS Capital Partners to obtain such information solely to conduct a pre-qualification for credit. Credit information accessed for my pre-qualification request may be different than the Credit Information accessed by a credit grantor on a date after the date of my original pre-qualification request.
Owner Signature*

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Print Name*
Date*

MonthDayYear
Date
Please upload: 3 current months Bank statements (all pages), Drivers License , EIN Letter, Corporate Formation Documents.

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*Note: All fields Are Required on this Application before Submission.
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Express Business Application