Funding Diagnostic Profile Form
Please fill out the form below
How did you find out about LIAACC Small Business Solution Center?
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LIAACC
Social Media
E-Mail
Tx
Other
Are you an active LIAACC Member?
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Yes
No
E-mail
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Name
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First Name
Last Name
Company
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Website
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Office Phone
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Cell Number
Your credit score
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500- 550
550-600
600-up
Business Type
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Please Select
Sole Owner
LLC
S Corporation
C Corporation
Non-Profit
Company Description
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Please select which funding service (s) you are interested in.
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Short Term Loan
Long Term Loan
Business Credit Line
Purchase Order Financing
Factoring
Equipment Leasing
Commercial Financing
Loan and Flip Hard Money
(No Doc) Mortgage
Business Detail
What year did you incorporated your business?
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Last year reported income
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Last year reported profit
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Projected sales for this year
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Projected profit for this year
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Did you file the last two years of taxes?
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Please Select
Yes
No
Please upload Taxes
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Browse Files
Cancel
of
Please upload 3 - 6 months bank statements
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Browse Files
Cancel
of
Corporate Documents
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Browse Files
Cancel
of
Appointment
Directions: Upon receipt of Diagnostic Profile Form, LIAACC will reach out to your company within 48 hours. Please provide all supporting documents. All documents must be in either a PDF or word document format.
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Yes
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