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.Format: (000) 000-0000.
DATE OF BIRTH

MonthDayYear
Date
DO YOU RENT OR OWN YOUR HOME?
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
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
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.Format: (000) 000-0000.
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

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Business Pre-Qualification Form