Business Tradeline Pre-Qualifiacation Form

Business Funding & Corporate Services Pre-Qualification

Thank you for your interest in the following services:• Clean Aged Shelf Companies• Business Funding• Business Credit Development• Primary Business TradelinesThis brief pre-qualification form allows our team to evaluate your current business structure, compliance position, and funding readiness so we can determine the most effective strategy for your situation.Please complete all questions accurately and thoroughly. The information provided helps us assess eligibility, identify potential gaps, and prepare for your consultation.Once submitted, our team will review your profile and contact you to schedule your consultation and discuss next steps.Serious inquiries only.We work with business owners who are committed to compliant, structured, and long-term business growth.
Pre Qualification Intake Form
What is your primary goal?

Access business fundingGrow and scale my businessFix or build my business creditNot sure — need guidance
What is your timeline to achieve this goal?

ASAPWithin 30 days30–60 days60–90 days
How much funding are you looking to access?

$50K or less$50K – $100K$100K – $250K$250K – $500K$500K+
How much are you able to invest in to hit this goal.*

Under $2000$2,000 - $5,000$5,000 - $10,000$10,000 – $18,000$18,000 – $26,000$26,000+
What will this funding be used for?*
How much funding are you looking to access?*

$50,000 or Under$50 - $80,000$90 - $120,000$120 - $150,000$150 - $250,000$250,000+
Full Name*
Which of our Products are you interested in?

Business TradelinesShelf CompaniesBuilding Business CreditCompliance & Regulations ConsultingBusiness FundingAsset based Financing
Business Name*
Business Phone Number: (any number you consider your business line, can be a cell)*
Please enter a valid phone number.Format: (000) 000-0000.
Business Established Date*

MonthDayYear
Date
What is the industry of your business and do you know the NAICS Classification code?
6 digit code that represents your business industry classification. If you don’t know write Unsure.
⁠How long have you been in business?

0–6 months6–12 months1–2 years2+ years
Phone Number*
Format: (000) 000-0000.
Domestic state of your business?
Is you business foreign Filed? If so which state?*
Is your business active across all secretary of State websites?*

yesNo
What is your average personal credit score?
Do you have a Credit Monitoring service either paid or free? If so which service?
What is you personal credit score?

Not sure550 or Below550 to 650650 to 680680 to 720720 to 750750+
Are you currently working with another lender or Broker?
Over the last 4 months what's your average monthly revenue? (Monthly Gross)
What is your monthly take home pay?
Enter dollar amount after expenses
Which personal credit monitoring service do you use if any?

ExperianMy EquifaxTransunionCredit KarmaIDIQ “Identity IQ”MyFreeScoreNo I don’t or Not Listed
Number of Credit Inquires in the last 6 months?
Have you had any bankruptcies,repossessions charge offs or foreclosures in the last 7 years?
Yes or no
Do you have personal bank statements?
Yes or No
Do you have personal tax returns?
Yes or No
Business Email*
Business EIN#
Does you business have existing business credit?*
Please let us know if you have existing credit and or vendor accounts setup for you business.
Do you have existing Business debt?
If no or unrelated please put N\A
Do you know your company’s DUNS Number?
Dun & Bradstreet Number
Is your business registered with Experian Business?
If unsure list unsure
Is your business registered with Equifax Commercial?
If unsure list unsure.
Business Address:(must be the address listed on the Secretary of State*

Street Address

Street Address Line 2

CityState

Zip Code
Valid Driving License Picture (Front) *

Cancelof
Are you inquiring for yourself or a client?*

MyselfA client
Book Your Free Consultation*
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Business Funding & Corporate Services Pre-Qualification

Pre Qualification Intake Form