Business Funding Interest Form
Applicant Information
Applicant Name
*
First Name
Middle Initial
Last Name
Applicant Phone Number
*
Format: (000) 000-0000.
May we contact you via text?
Yes
No
Applicant E-mail
*
Are you interested in using your personal credit to obtain funding?
Please Select
Yes
No
State of Residence
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Information
Business Information
Business Name
*
Business Type
*
Sole Proprietorship
LLC
Corporation
Non-Profit
Business Phone
*
Format: (000) 000-0000.
Business Email
*
example@example.com
Website
*
Time in Business
*
Revenue per year
*
$ USD
Desired Amount of Funding
$ USD
How soon do you need the money?
*
Business Address
*
Street Address
Street Address Line 2
City
State
Zip Code
What does your business do?
*
What Types of Financing are you interested in applying for?
*
Credit Based (using Personal Credit)
Credit Based (using Business Credit)
401 K Financing
Merchant Processing
Revenue-Based Financing
Purchase Order Financing
Cannabis Financing
Accounts Receivable Financing
Franchise Financing
Commercial Mortgage Financing
Must have 1yr-2yrs in business minimum
*
Small Business Loan
Business Line of Credit
Equipment Financing
SBA Loan (also need 685 credit score)
Subordinated Debt Financing (need $1M Annual Revenue)
Asset Based
Woman Empowerment Loan
Veterans Financing
Financing for Healthcare
Credit Scores
Fill out the below if you are applying for credit based funding or if you are willing to use credit as an option.
FICO Scores
Average FICO Score
Business Paydex Score
By submitting this form you agree to the following terms and conditions. You agree & understand that you may be contacted by Wise Financial & Consulting Partners or its lending partners via phone, email, and/or text. You also agree & understand that by submission you are opting in to any Wise Financial & Consulting Partners marketing and other communications. Your information will be shared with our lending partners in order to vet your application for lending/financinc opportunities and will not be shared by Wise Financial & Consulting Partners for any other use.
*
Submit my application
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