Grandiose Capital Business Pre-Qualification Form 2.0

Business Pre-Qualification Form

Please Complete This Form For an Official Pre-Approval Quote
WHO REFERRED YOU TO US?*
How did you find out about us?
IF OTHER... (EXPLAIN HOW YOU FOUND US)*
Brief explanation about how you found us

BUSINESS OWNER INFORMATION

(PLEASE COMPLETE ALL REQUIRED FIELDS)
NAME*

Legal first nameLegal last name
EMAIL ADDRESS*
example@example.com
MOBILE PHONE NUMBER*
Please enter a valid phone number.
DATE OF BIRTH*

MonthDayYear
Date
DO YOU RENT OR OWN YOUR HOME?*

RentOwn
HOME ADDRESS*

Street Address

Street Address Line 2

CityState

Zip Code
YOUR MIDDLE CREDIT SCORE (FICO)*
(Not top or bottom score) E.G., If your 3 FICO scores are 705, 718, 700. The middle is 705.

BUSINESS INFORMATION

(PLEASE COMPLETE ALL REQUIRED FIELDS)
LEGAL BUSINESS NAME*
YOUR LEGAL OWNERSHIP % OF THE BUSINESS*
Percentage of ownership [0-100%]
NAME OF OTHER OWNER*

First nameLast name
THEIR LEGAL OWNERSHIP % OF THE BUSINESS (OTHER OWNER)*
Percentage of ownership [0-100%]
DOES THE BUSINESS HAVE A DBA NAME*

YesNo
IF YES, WHAT IS THE DBA NAME*
BUSINESS FEDERAL TAX ID# [EIN]*
EIN
BUSINESS START DATE (UNDER CURRENT OWNERSHIP)*

MonthDayYear
Date
YOUR AVERAGE MONTHLY SALES THE PREVIOUS 3 MONTHS?*
E.G., (Add last 3 months and divide by 3). 10k+10k+10k=30k, 30k/3=10k
PREVIOUS 4 BUSINESS BANK STATEMENTS*

Upload you most recent 4 months of bank statements
Cancelof
TYPE OF BUSINESS*
INDUSTRY:*
STATE OF INCORPORATION*

Street Address

Street Address Line 2

CityState

Zip Code
OWN OR RENT BUSINESS LOCATION*

Own (Mortgaged)Own (Mortgage paid in full)Rent
MONTHLY PAYMENT (IF RENTED OR MORTGAGED)*
CURRENT BUSINESS ADDRESS*

Street Address

Street Address Line 2

CityState

Zip Code
BUSINESS PHONE NUMBER*
Please enter a valid phone number.
BUSINESS WEBSITE*
ANNUAL GROSS REVENUE*
[Previous year's tax return] (Do NOT subtract expenses)
LOAN AMOUNT REQUESTED*
Do Not Forget To Click The Green Submit Button Below

If the submit button is missing email info@grandiosecapital.com immediately for assistance.
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Business Pre-Qualification Form