Enterprise Financing Questionnaire

Enterprise Financing Application

Completing this application will help us understand how your business operates in order for you to be considered for financing with Crowned Elite Holding Corporation. We do not fund non-US companies. We do not have jurisdiction to hold said companies accountable if loan defaults. We apologize for any inconvenience this may cause.
Please take 10 minutes to answer the questions in this application to help Elite Holding Corporation understand how we can provide financing that matches your business needs.

If you wish to edit or remove data provided on this form or be removed from consideration, please email us in writing to eliteholdcorp@gmail.com or accounts@rs4rp.com.

Crowned Elite Holding Corporation, a subsidiary of Real Solutions for Real People and is a woman, minority-owned financial institution designed to remove underwriting barriers to help business owners gain access to capital and resources designed to help them grow their business.

Before Proceeding, please download the below two documents (blue link A and B) as they will be required to be uploaded at the end of the application and will be used for consideration in assessing your company's character for business funding. The third link explains our program. The fourth has all the industry categories we serve.

****There is a monthly application deadline of the 15th of the month, if you submit after that date you will have to wait until the following month.

**** The fees for application submission are the following:

1M OR LESS- $3300
1M TO 10M- $5700
10M TO 100M- $12,500
100M to 1B-$125,000
1BILLION OR MORE $257,000

Please do not submit this form if you are not ready to proceed fully. We will immediately remove your application and you may not be considered for future funding from our company.

Upon Submission, our team will review all of your documents and get back to you on whether or not we are going to proceed with funding your project within 48 hours. We will schedule a call to go over your application and answer any questions or concerns your team has.

If you are proceeding after the 48 hours and selection of your company, you will receive a MOU explaining what to expect moving forward and your origination fee will need to be paid in full per the instructions in the MOU. Once paid in full, we will begin our due diligence process about your company. This process can take up to 120 days. During this time we may ask for additional information. Any and all associated parties must be available to answer questions. You will be refunded if you, your partners, or your business does not pass the due diligence process.

Thank you for considering us. Stay safe!

A. Capability Statement

B. SMART Goals

C. Funding Flyer

D. Industry Categories
1: About your enterprise
1.1.1: In which country is the enterprise based?:
1.1.2: Name of the enterprise *
1.1.3: Respondent Name *

First Name Last Name
Are there partners in this enterprise? N/A if not applicable *
Enter names, titles, and contact info (phone and email address)
1.1.4: Respondent position / title in the enterprise *
1.1.5: Respondent Email *
example@example.com
1.1.6: Enterprise HQ Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Who referred you?
Their name
How much money are you seeking?

1.1.7: Address Map Locator (Enter details provided by your mobile phone or a GPS device)

Enter numbers as ##°##'##' X

Latitude (X = N or S)

Longitude (X = E or W)

Viewing Latitude or Longitude figures on your mobile device

Stand at the registered place of the enterprise, enter "settings" on your mobile phone or tablet. Allow your phone to "Access location" and go to the Compass App.

The Latitude & Longitude of your current position are usually displayed under the Compass as a series of 6 digits followed by N (North) or S (South), E (East) or W (West) - enter the details in the boxes above as they are displayed:
1.1.8: Enterprise contact phone number *

+### Phone Number
1.1.9: Enterprise Website
https://www.xxxxxx.xxx
1.2.0: Enterprise Tax or Registration Identification code *
Enter a unique identification code provided to your business. If not registered, enter your personal ID number
1.2.1: Type of identification code provided above *
EG: State if Tax or Registration number, other official enterprise or personal ID identifier
1.2.2: What are your latest enterprise plans in 600 characters *
Enter here all future plan uses for your funding
1.2.3 Please select the type of entity you represent *

Commercial registered business Start-up or Commercial un-registered business Cooperative or Community type business Government enterprise or agency Business development support service Not for profit organisation, Charity or Non Government organisation Academia, Research, Training or Vocational development organisation
1.2.4: Personal Phone Number *

Area Code Phone Number
1.2.5: Select the band below that best represents the Previous year's annual revenue for your enterprise in US$ *

$5,000 to $50,000 $51,000 to $200,000 $201,000 to $700,000 $701,000 to $2,000,000 $2,001,000 to $6,000,000 > $6,000,000

1.2.6: Main revenue-generating products and services value. Start with the highest value product or service, then the next highest by value, Maximum 5 choices

Name of product or service

Type of product or service

% of total sales value last year

Last year's continuous license or maintenance revenue as % of total sales value

Highest sales value

Next highest value

Third highest sales value product or service

Fourth highest sales value

Fifth highest sales value product or service

1.2.7: Enterprise total annual revenue Forecast for the current financial year in US$ equivalent *
Format: $###,###,###
1.2.8: Export only annual revenue Forecast for the current financial year in US$ equivalent
Format: $###,###,###
1.2.9: Domestic only annual revenue Forecast for the current financial year in US$ equivalent *
Format: $###,###,###
1.3.0: Approx. what % of total annual enterprise revenue are production and delivery costs (ie: Cost of sales)
###

3: Financing needs

What types of financing does your enterprise need to grow sustainably and inclusively and what level of equity share or repayments can it support from normal operations
3.1.0: How has your business been affected by COVID-19?
Free text: Please summarise your business and sales status and what new sales you have in the pipeline
3.1.1: How much external capital / equipment financing in US$ equivalent do you plan to raise next year to repay > 1 year? Or How much revenue do you plan on making after your year one grace payment period? *

$5,000 to $50,000 $50,000 to $1,000,000 $1,000,000 to $2,500,000 $2,500,000 to $5,000,000 $5,000,000+
3.1.2: How soon would you plan to fully payback capital or equipment financing of > 1 year? *

12-24 months 24-36 months 36 months or more

3.1.3: For which trade destinations and products / services would you require financing to expand sales within the next 12 months?

Product or Service type

Destination market & Country

Type of financing sought

Purpose of financing

Duration of repayment

Amount sought in US$

3.1.4: What financing are you using or have you used in the last 3 years for your business?

Current financing facilities

Ends in Year

Facilities used over previous 3 years

Ended in Year

Amount in US$

3.1.5: Which bank(s) does your enterprise use to receive domestic and international payments?
Insert bank names (Note this information will not be disclosed further without your permission)
3.1.6: Insert comments here about how the COVID-19 crisis has affected relations with your bank or your financing options.
Free text
Your personal details may only be used for an Elite Holding Corporation project to contact you for clarifications of responses, or to send news of Elite Holding Corporation activities that may help your business. Your personal details will be removed from any further analysis of the data that you have provided.

You may contact ITC at any time, at the e-mail address below, to request that your data be removed from, or edited in, our records.

Eliteholdcorp@gmail.com or accounts@rs4rp.com

T: +12675638190

By submitting the responses you agree to these terms. Thank you very much for your time and cooperation.
Please Upload Any documents will help us make a decision to fund your business *

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Please upload your SMART Goals *

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Please upload your Capability Statement *

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Enterprise Financing Application

1: About your enterprise

2: Enterprise operations

3: Financing needs