Cordial Lending Application
Business Information
Amount Requested
*
Use of Funds
*
Please Select
Expansion
Working Capital
Payroll
Purchase a Business
Equipment
Real Estate
Buy Out a Partner
Finance Accounts Receivables
Business Legal Name
*
DBA Same as Legal Name?
Yes
No
Tax ID #
*
Business Phone Number
*
Company Type
*
Please Select
Limited Liability Company
S Corporation
C Corporation
Partnership
Sole Proprietor
State of Incorporation
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Business Start Date
*
-
Month
-
Day
Year
Date
Business Description / Industry Type
*
Annual Revenue
Current Business Advances/Loans?
Yes
No
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Owner Information
Name
*
First Name
Last Name
Mobile Number
*
Please enter a valid phone number.
Email
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Social Security Number
*
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
FICO / Credit Score
*
Please Select
Sub 500
500-549
550-599
600-649
650-699
700-749
750-799
800-850
Additional Owner?
Yes
No
Signature
Submit
Submit
Should be Empty: