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
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What’s your immediate goal?
*
Please Select
I want to grow and enhance my business
I want to buy or update my company’s equipment
I want to promote my business and reach more people
I want to build a financial cushion
I want to stock up on more inventory
I need working Capital
Other
Select what matches your situation best.
What’s your timeline to meet this goal?
*
Please Select
Less than 30 Days
30 - 90 Days
3 - 6 Months
More than 6 Months
How much time do you have to reach your goal?
What is your Target Funding amount?
*
$50,000 or Under
$50 - $80,000
$90 - $120,000
$120 - $150,000
$150 - $250,000
$250,000+
How much are you able to invest in to hit this goal.
*
Under $2000
$2,000 - $5,000
$5,000 - $10,000
$10,000+
Which personal credit monitoring service do you use if any?
Experian
My Equifax
Transunion
Credit Karma
IDIQ “Identity IQ”
MyFreeScore
No I don’t or Not Listed
What is you personal credit score?
Not sure
550 or Below
550 to 650
650 to 680
680 to 720
720 to 750
750+
Which of our Products are you interested in?
Business Tradelines
Shelf Companies
Building Business Credit
Compliance & Regulations Consulting
Business Funding
Asset based Financing
What is the industry of your business and do you know the NAIICS Classification code?
6 digit code that represents your business industry classification. If you don’t know write Unsure.
Full Name
*
Business Name
*
Phone Number
*
Format: (000) 000-0000.
Business Phone Number: (any number you consider your business line, can be a cell)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Domestic state of your business?
Is you business foreign Filed? If so which state?
*
What is your average personal credit score?
Please Select
600 or Below
Do you have a Credit Monitoring service either paid or free? If so which service?
Are you currently working with another lender or Broker?
Over the last 4 months what's your average monthly revenue? (Monthly Gross)
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What is your monthly take home pay?
Enter dollar amount after expenses
Number of Credit Inquires in the last 6 months?
Please Select
0-1
1-2
2-3
3-4
4-5
6+
Have you had any bankruptcies,repossessions 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?
Please Select
Yes
No
Yes or No
Is your business active across all secretary of State websites?
*
yes
No
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Business Establishment Date
*
-
Month
-
Day
Year
Date
Business EIN#
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Business Email
*
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
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
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Valid Driving License Picture (Front)
*
Browse Files
Drag and drop files here
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Are you inquiring for yourself or a client?
*
Myself
A client
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