Angle Business Services Funding Assessment
Name
*
First Name
Last Name
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone
*
Please enter a valid phone number.
Email
*
example@example.com
Date of Birth
*
Business Status
*
Mortgage
Rent
Own Home-No Mortgage
Monthly Business Rent/Mortgage Expense
*
US Citizen?
*
Yes
NO
Ever Filed Bankruptcy?
*
No
Yes
Business Information
Legal Entity Name
*
Doing Business As D/B/A ?
*
Industry Type
*
Business Entity
*
LLC
Corp
S-Corp
Sole Proprietor
LLP
Professional Title
How much funding are you looking for?
Purpose of Funds?
Do you have Business Credit now?
Do you have Business Loan balances now?
Have you ever defaulted on a Business Loan?
What is your personal credit score?
Do you have any real estate collateral? Any old 401k savings?
Do you have B2B Invoices, Purchase Orders, Accounts Receivable??
Monthly Income/Sales Revenue
*
5-10K
11-20K
20-50K
50-75K
75-100K
100k +
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Phone Number
*
Please enter a valid phone number.
Business Bank Name
*
Please briefly explain how you plan to use the funding for your business
*
Referred By
Terms and Conditions
I hereby certify that the information contained herein is complete and accurate. *All fields with asterisks must be completed entirely in order for a pre-approval to be issued. By clicking "Submit", you (1) consent to Angle Business Services Terms and Conditions and receiving calls, SMS text messaging, or emails for follow ups and marketing purposes, from Angle Business Services using the information you provided above, including via cell phone, (2) acknowledge that no purchase of goods or services is contingent upon such consent, (3) acknowledge that telephone calls to and from Angle Business Services may be recorded, (4) acknowledge that by submitting my credit report and signing this form I am giving consent for Angle Business Services to utilize my personal information for the purpose of a business funding pre-approval letter, and (5) acknowledge that you have read Angle Business Services Privacy Policy and understand that you may opt out of receiving communications of your choice from Angle Business Services as provided in the Privacy Policy.
e-sign Disclosure
Consent to do Business Electronically The parties agree that this document may be electronically signed. The parties agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability and admissibility. Opt-out Clause You may withdraw your consent to receive electronic documents, notices or disclosures at any time. In order to withdraw consent, you must notify the sending party that you wish to withdraw consent and request that your future documents, notices and disclosures be provided in paper format, To request paper copies of documents; withdraw consent to conduct business electronically; or withdraw consent to sign documents electronically, please contact the sending party by telephone, postal mail or email.
I hereby certify that the information contained herein is complete and accurate. By submitting my credit report and signing this form I am giving consent for Angle Business Services to utilize my personal information for the purpose of a business funding pre-approval letter. *All fields with asterisks must be completed entirely in order for a pre-approval to be issued.
Please verify that you are human
*
Signature
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