Credit Fundr Pre-Qualification Form

1

Name* This field is required.What’s your Full Name?

First Name

Last Name

2

E-mail* This field is required.What’s the best E-mail to contact you?

3

Phone Number* This field is required.What’s the best Phone Number to contact you?

4

Funding Amount Needed* This field is required.How much capital will your business need?

Up to $20,000

$20,000-$50,000

$50,000-$100,000

$100,000+

6

What will you be using the funding for?* This field is required.Startup? Ad Budget? Automation Service? High-Ticket Program? The more information we have the better we can help you

7

What’s your average FICO score?* This field is required.Please use Experian, Equifax, or Transunion scoring model

Below 500

500-600

600-700

700-720

720-800

800+

8

How many current credit cards do you have?* This field is required.Please include only primary accounts, do not include any authorized users or tradelines accounts

None

1-2

3-5

5+

9

What is your overall credit limit?* This field is required.This figure is the sum of all credit cards limits, do not include any authorized user or tradeline accounts

$0-$5,000

$5,000-$10,000

$10,000-$15,000

$15,000-$30,000

$30,000-$50,000

$50.000-$100,000

$100,000 +

10

What is your average credit card utilization?* This field is required.This figure is the average utilization amongst all active credit card accounts

0%-10%

10%-15%

15%-30%

30%-50%

50% and over

12

Do you have any negative or derogatory accounts on your file?* This field is required.Includes but not limited to Collections, Late Payments, Charge-Offs, Bankruptcies, Liens, Repos, Evictions, etc

YESNO

13

Are you currently enrolled in Credit Repair?

YESNO

14

I agree that the information herein are true and correct* This field is required.

Yes