We MicroFund You Application

Step 1 - Your Demographic Information
Business Owner Name*

First NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Number*

Country CodeArea CodePhone Number
Email*
example@example.com
Social Security Number*
Please Upload Valid Identification*

Passport, Valid Driver's License or other Valid State Identification (cannot be expired)
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Step 2 - Business Partners/Co-Owners
Do you have any other Business Partners or Co-Owners?*

YesNo
How Many?*

OneTwoMore
First Business Partner/Co-Owner Name*

First NameLast Name
First Business Partner/Co-Owner Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
First Business Partner/Co-Owner Phone Number*
Please enter a valid phone number.
First Business Partner/Co-Owner Email*
example@example.com
First Business Partner/Co-Owner Social Security Number*
Second Business Partner/Co-Owner Name*

First NameLast Name
Second Business Partner/Co-Owner Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Second Business Partner/Co-Owner Phone Number*
Please enter a valid phone number.
Second Business Partner/Co-Owner Email*
example@example.com
Second Business Partner/Co-Owner Social Security Number*
If more than three business partners and/or co-owners, please upload a spreadsheet or similar document with their names, addresses, phone numbers, emails and social security numbers.*

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Upload Partnership or Operating Agreement*

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Upload Board Resolution stating that you are allowed to obtain funding on behalf of your company.

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Upload any other documentation and/or information we should know about your Business Partners/Co-Owners (i.e. divorce decree, bankruptcy discharge, etc.)

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Upload All Business Owner/Partner Resumes*

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Upload All Key Personnel Resumes*

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Step 3 - Business Information
Name of Business*
Business Logo*

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Business Email*
example@example.com
Business Phone Number*
Please enter a valid phone number.
If known, please provide your business's D-U-N-S number
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you have a mailing address different than above?*

YesNo
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Does your business have multiple locations?*

YesNo
How Many?*

TwoThreeMore
Second Location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Third Location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If your business has more than three locations, please upload a spreadsheet or similar document with listed addresses here.*

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Please Upload Valid Business Registration and License*

Cannot be expired
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Please Upload a Letter of Intent, Lease, Deed, Purchase Agreement and/or Mortgage Statement for each business location*

Also acceptable
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Provide a brief description of the nature of your business.*

0/100
What products or services does your business offer?*

0/50
What is your target customer base?*

0/50
Who are your suppliers?*

0/50
Who are your competitors?*

0/50
What are your future plans for growth and/or expansion?*

0/75
Upload Existing Business Plan (if any)

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What is your personal entrepreneurial story?
List any major business accomplishments and/or milestones.*

0/50
Have you worked with a Small Business Support Agency or participated in any Business Training Program. If so, please list the names and dates of program(s) including the date of graduation. If not please enter "N/A". *

Step 5 - Personal Finances
Upload Personal Financial Information - Please provide any assets or debt that you have personally; if you have a profit and loss statement please provide here.*

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Three Years Personal Federal Tax Returns*

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Upload a Signed Form 4506-T to provide lenders*

Below is a sample of what this form looks like
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Please click here for IRS 4506-T Form & Instructions
Copy of Bankruptcy Discharge (if any)

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Copy of Divorce Decree (if any)

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What range does your credit score fall into (If unknown, use a free software like Credit Karma to discover your score).*

300-579: Poor580-669: Fair670-739: Good740-799: Very good800-850: Excellent
Credit Explanation Letter (if any)

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For those with little to no credit, please provide Alternative Credit Letters (if any)

Provide documentation letters of on-time payments (child support, monthly utility or other monthly bills, etc.)
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Upload a list of personal collateral & it's value - MUST be in your name*

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