Business Loan Inquiry Form

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How much capital do you need?* This field is required.
$5,000 - $10,000
$10,000 - $25,000
$25,000 - $75,000
$75,000 - $100,000
$100,000 - $200,000
$200,000+
$500,000+
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How long have you been in business?* This field is required.Required 3 (three) months of operating income to qualify
Startup (no revenue)
< 3 months
< 6 months
1+ year
2-4 years
5-10 years
10+ years
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What is your business name?* This field is required.
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Please describe the nature of your business?* This field is required.
Business Services (Marketing, Consulting etc)
Auto Repair
Auto Sales (New & Used)
Retail Store
Wholesale Trade
Professional Svc (CPA, Atty etc)
Personal Svc (Salon, Grooming, Childcare, Massage etc)
Transportation (General Freight)
Transportation (Medical)
Personal Transportation (limo, taxi etc)
General Contractor
Specialty Contractor (HVAC, Plumbing, Electrician etc)
Restaurant / Cafe
Bar / Nightclub
Manufacturing
Medical Office (General)
Medical Office (Specialty)
Medical Supply
Medical Services (X-ray, Diagnostics etc)
Manufacturing
Real Estate Mgt
Real Estate Sales
Real Estate Investor
Other
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How would you use the capital?* This field is required.We are no longer accepting applications for Payroll Protection Program
Expansion
Equipment purchase
Inventory
Marketing
Remodel my location
Refinance debt
Other
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Please specify the equipment you want to finance.* This field is required.Purchase price, make & model, miles / hours recorded, condition etc
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How much down payment do you have available?* This field is required.
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How is your credit?* This field is required.
Poor < 500
Average 501 - 550
Good 551 - 600
Very Good 601-650
Excellent 651- 700
Great 701+
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Where is your business located?* This field is required.
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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Would you like to learn how to build your business credit to obtain credit under your business name only (even with bad personal credit)?* This field is required.
Yes
No
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What is your CURRENT monthly average revenue range?* This field is required.Revenue estimate over the last 3 months
< $5,000
$5,000 - $10,000
$10,000- $20,000
$20,000- $30,000
$30,000- $40,000
$40,000- $50,000
$50,000- $75,000
$75,000- $100,000
$100,000- $150,000
$150,000-$250,000
$250,000- $350,000
$350,000+
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PQ Conversion
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Do you use a business checking account with your business name shown?* This field is required.It is required to have a BUSINESS CHECKING ACCOUNT to qualify for a business loan.
Yes
No
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Banking Compliance

Due to lending regulations it is required that a business checking account be provided to qualify for a business loan. Personal statements will automatically be disqaulified for approval. Loans made to personal accounts can be construed as a personal loan which is a potential violation of lending laws.

However, if you are sole proprietor with a personal account with your DBA (Doing Business As) name listed, you may still qualify.
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What is your name?* This field is required.
First Name
Last Name
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Please provide your mobile number to receive updates* This field is required.Don't worry, we hate spam too so we promise to only send you updates.
Please enter a valid phone number.
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What is your email?* This field is required.
example@example.com
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Authorization To Contact You

By clicking “Submit”, you (i) consent to receiving calls and texts, from AMP ADVANCE Business Loans and those acting on its behalf at the telephone number you have provided above (including your cellular phone number); consent to receiving telemarketing calls or texts at this number using an automatic telephone dialing system by, or on behalf of, AMP Advance or its affiliates; agree that this consent applies even if the number you have provided is currently on any state, federal, or corporate Do-Not-Call registry; and understand that you are not required to provide this consent as a condition of receiving any credit or services from AMP ADVANCE and that you may apply for business credit by contacting us directly; and (ii) acknowledge that you have read AMP ADVANCE Terms & Conditions , Privacy Policy and SMS Wireless Policy. You understand that you may opt-out of receiving communications of your choice from AMP ADVANCE as provided in the Privacy Policy and SMS Wireless Policy.
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Sorry, we are not funding start-ups at this time. Please do consider us when conditions have changed.
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Location* This field is required.
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