GBC CONSULTING SERVICES
700 W. 180th St., STE. 67,
NYC, NY 10033
info@gbccsinc.com
https://gbcconsultingservices.com
347-406-2180
Loan Application
Date of Application
*
Source of Lead
*if applicable*
Desired Loan Amount $
*
Annual Income $
Use of Funds
*
Working Capital
Development
Fix-and-Flip
Refinance
Ground-Up Construction
Purchase
Other
Personal Information
Name
*
Title
First Name
Last Name
Birth Date
*
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Year
SSN
*
E-mail
*
example@example.com
Credit Score
*
Any collateral that you would be interested in using to support financing? (ie. property, home, other assets, etc.)
Phone
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How long have you lived in your given address?
0-1 Year
1-2 Years
3-4 Years
5+ Years
Business information
Legal Business Name
*
EIN Number
*
Business Type
*
Website
*
(if applicable)
Entity Type
*
S-Corp
C-Corp
Sole Proprietorship
Partnership
Limited Partnership
LLC
Other
Date Established
Date Incorporated
State of Incorporation
*
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing Address (if different)
Years of experience
*
0-1 Year
1-2 Years
3-4 Years
5+ Years
Other
Borrower Name
*
Title
*
% Owned
*
Please list any other owners with more than 20% interest in the business.
*if applicable*
Gross Annual Income
*
Gross Monthly Income
*
Monthly Rent/Mortgage
Please describe any/all current MCA or Loan Debt (business or personal)
*
Consent
By signing below, each of the above listed businesses and business owners/officers (individually and collectively, "you") authorize GBC Consulting, Inc. and each of its representatives, successors, assigns and designees, including any electronic business-to-business funding platforms ("recipients") that may be involved with or have acquired commercial loans having daily repayment features or purchases of future receivables including merchant cash advances transactions, including without limitation the application therefor (collectively, "accounts"), to obtain and securely store consumer and/or personal, business and investigative reports and other information about you, including credit card processor statements and bank statements from one or more consumer reporting agencies, such as TransUnion, Experian, Equifax, and from other credit bureaus, banks, creditors and other third parties, and share such information with prospective purchasers of accounts.
YES
I hereby agree that the information given is true, accurate and complete as of the date of this application submission.
YES
Signature
*
Name
*
First Name
Last Name
Title
*
Email
*
example@example.com
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