Aggressive Expansion - Funding Application

1

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

First Name

Last Name

2

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

example@example.com

3

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

Please enter a valid phone number.

4

Funding Amount Desired* 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 +

5

How long have you been in business?* This field is required.

Have Not Started Yet

0 - 6 Months

6 - 12 Months

1 - 2 Years

2 Years +

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

Are you currently enrolled in Credit Repair?* This field is required.

YESNO

9

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 +

10

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 - $5000

$5000 - $10,000

$10,000 - $15,000

$15,000 - $30,000

$30,000 - $50,000

$50,000 - $100,000

$100,000 +

11

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

13

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

14

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

Yes

15