First Name
*
Last Name
*
Email
*
Phone Number
*
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To confirm, are you filling this out because you want business funding?
*
Yes
No
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What is your personal Credit Score?
*
750+
720 - 749
700-720
680-690
Below 689
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Our clients normally get funded within 14 days. What typically slows them down is personal credit card debt. What's your % utilization?
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2% - 15%
15% - 30%
30% - 40%
40% or more
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Do you have any negative marks in your credit report?
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No, my credit is clean
Collections
Charge offs / Repossession
Bankruptcies
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If you combine all your credit cards amounts, what is the total limit you have?
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No personal credit cards
$2k - $5k
$5k - $10k
$10k+
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Do you currently have a registered LLC?
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Yes
No
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How old is your registered company or LLC?
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0-6 months
1-2 years
4+ years
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Can you confirm you will be in a quiet location with minimal distractions and give your full attention in our phone call?
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Yes, I will be fully present
No, I will waste your time
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How much business funding are you looking for?
*
$50K
$100K+
$150K - $250K
$500K+
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