Drakewood Business Loan Pre-Application Form

Drakewood Capital, LLC's Business Loan Pre-Application

Personal Information
Name of Applicant*

PrefixFirst NameMiddle NameLast Name
E-mail of Applicant*
Phone number of Applicant

Area CodePhone Number
Mobile Phone number of Appliicant

Area CodePhone Number
Fax Number of Applicant

Area CodePhone Number
Address of Applicant*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Birth of Applicant*

MonthDayYear

Business Loan Pre-Application

Project Details
Applying as*

Sole ProprietorPartnershipCorporation
Planned Business Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Credit FICO

720+680-719620-639Under 620

Business Loan Pre-Application

Financial Information
Does the borrower have an up to date assets and liabilities statement?*

YesNo
Upload Statement

Upload a File

Cancelof
Have you previously been financed?*

YesNo
Lender Name*
Financing was for*

Business Loan Pre-Application

Submit my Pre-Application
The information provided in this Pre-Application will be used for initial loan scenario research. Your non public personal information (including your name, SSN, Address) shall not be shared with anyone including Lenders and will be kept confidential until such time as you have executed Drakewood Capital's Engagement Agreement and authorized us to submit full loan applications on your behalf.
I agree that the information herein are true and correct

Yes
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