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Funding Application Questionnaire
Hi there, please fill out and submit this form to receive your funding plan!
32
Questions
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1
Name
*
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First Name
Last Name
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2
Phone Number
*
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Area Code
Phone Number
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3
Email
*
This field is required.
example@example.com
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4
Current Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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5
Personal & Business Verification
What is Your SSN?
What Is your EIN? (If Applicable)
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6
Do you have an LLC? If so how old is it? What state was your LLC incorporated in?
*
This field is required.
Example: Yes - 12 months - Georgia
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7
Do you have less than 3 hard inquiries in the last 6 months on each bureau? (if not we may suggest freezing the bureaus that have over 3 before applying)
YES
NO
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8
Is your utilization less than 30% on each personal credit card account?
YES
NO
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9
Do you have late payments on any of your bureaus within the last 24 months?
YES
NO
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10
Do you have any collections, bankruptcy
,
charge-offs, or derogatory marks on your personal credit report?
YES
NO
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11
Do you have above a 700 FICO score for all three credit bureaus?
YES
NO
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12
Do you have more than 3 recently opened personal revolving accounts in the last 6 months?
YES
NO
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13
Please list all the institutions you have Personal Bank Accounts with:
*
This field is required.
Example: US Bank, Wells Fargo, Chase
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14
How many personal credit cards do you have? Name the institution, highest limit, and age.
*
This field is required.
Number of personal PRIMARY credit cards that you have. Example: 1 - Bank of America - $20,000 - 3 years old
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15
Please list all Authorized User accounts that you have? Credit Limit AND date opened (opening of AU account on your profile)
Example: AU on American Express Blue Cash Everyday, 20,000 limit, Opened March 2020
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16
Do you have on your UCC filings on your business credit report?
*
This field is required.
This can prevent you from funding.
YES
NO
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17
Please list all the institutions you have Business Bank Accounts with:
*
This field is required.
Example: Bank of America, Truist, Navy Federal
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18
Please list every single Business Credit Card you have:
*
This field is required.
Example: Bank of America Cash Rewards, US Bank Business Platinum
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19
What is your credit score and how many inquiries do you have
(in the last 6 months)
on Experian?
*
This field is required.
Example: 724, 3 inquiries
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20
What is your credit score and how many inquiries do you have
(in the last 6 months)
on Equifax?
*
This field is required.
Example: 724, 3 inquiries
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21
What is your credit score and how many inquiries do you have
(in the last 6 months)
on Trans union?
*
This field is required.
Example: 724, 2 inquiries
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22
What bank do you have the longest personal relationship with? (How much cash do you have in the account?)
*
This field is required.
It helps immensely to apply with banks that you have banking/credit history with. If you have money in a bank account that will increase chances of approval and higher limits. Example: Bank Of America - $52,000
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23
What bank do you have the longest business relationship with? (How much cash do you have in the account?)
It helps immensely to apply with banks that you have banking/credit history with. If you have money in a bank account that will increase chances of approval and higher limits. Example: Chase - $13,000
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24
Do you have W2 income from an employer? If so how much do you make per month?
*
This field is required.
This is important in the event that your denied for the credit card recommendations during the process, if you have proof of income we can recommend some other term loan options. (Check Stubs, Bank Statements, May Have To Login Into Plaid)
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25
What is the average monthly business revenue over the past 3 months? (Verifiable income not stated income)
*
This field is required.
Example: $10,000 in revenue
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26
Do you need additional credit card funding to operate an E-commerce store?
*
This field is required.
Ecommerce is a passive income opportunity we offer in LOE
YES
NO
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27
What are you going to use the credit for?
*
This field is required.
Example: building personal credit, prepare for the recession, buy a investment property, ecommerce, real estate, I do not know, etc.
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28
Are you a homeowner?
*
This field is required.
Yes or No
YES
NO
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29
Are you going through funding with a business partner?
*
This field is required.
YES
NO
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30
If yes to the previous question, please state the member's ownership percentages?
Example #1: Bob 50% , Jack 50% Example #2: Zach 75% , Byron 25%
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31
Please list your log in and key for a FICO monitoring site
MyFico is recommended: https://www.myfico.com/ Username Password
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32
Please verify that you are human
*
This field is required.
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