Desired loan amount? ($30,000-$350,000)* How soon would you need the funds? 2 weeks 30-45 days*
Score*
Has the business been open for more than 2 years? YES NO *
Any Bankruptcy or foreclosures in the last 3 years? YES NO*
Have you or your business defaulted on a Government loan? YES NO*
Year business opened?*
Business legal name?*
Industry?*
Business address? Street Address* Address Line 2* City* State* Zip*
Business Type ( LLC, S Corp, C Corp, LLP... )*
Number of employees?*
Gross Income ($10,000 min)?*
Ownership %? (List all members with 25% ownership or more)*
Home address? Street Address* Address Line 2* City* State* Zip*