Funding Intake Form
We want to understand your situation so we can best serve you! Please answer to the best of your ability. We look forward to helping you get funding! Once this form is received our processing team will reach out with important next steps,
Full Name
*
First Name
Last Name
Cell Number
*
E-mail
example@example.com
How Much Are Your Seeking?
*
How Will You Use The Money?
*
List the Equipment, or ways your plan to invest
What Is Your Experian Credit Score
*
NOT Credit Karma
What Was The Net Profit On Your Businesses Last Tax Return?
*
What's Your Total Revenue From 2023?
*
N/A if you are a startup
What Is Your Adjusted Gross Income On Your Last Personal Tax Return
*
Check your tax return for this line item
Do You Have Loans Out?
*
Yes, Personal Loans
Yes, Merchant Cash Advances
No, But Credit Card Debt
No, I've Never Borrowed Before
Tell Us About The Return On Investment For The Funding Request?
*
Break Down The Numbers, projected revenue, turnaround time, etc
Submit
Should be Empty: