What is your Companies Name, entity type and DBA if applicable
*
What is your business address?
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
What is your business website?
*
What is your business Tax ID?
*
Bank-level 256 Bit Secure
What is your SS#?
*
Bank-level 256 Bit Secure
Please describe what your business does
*
How many years have you been in business?
*
Is your revenue trending higher or lower than the last filed return?
*
Please Select
Higher
Lower
Is there a seasonality component to your Business?
*
Please Select
Yes
No
Do you declare enough income on your personal taxes to cover all expenses on FICO report?
*
Please Select
Yes
No
Have you ever defaulted on a legitimate business loan (not MCA) or an SBA business loan?
*
Please Select
Yes
No
Have you filed personal Bankruptcy within the last 3 years?
*
Please Select
Yes
No
Does your Business have a Blanket UCC lien on its assets aside from EIDL?
*
Please Select
Yes
No
Please list business loans on your balance sheet excluding EIDL and Equipment
*
Rows
Lender
Amount
1
2
3
4
5
Please state how your business would use funds if approved for Bank credit
*
Please state what makes your business unique and why it will thrive with the right credit facility:
*
Did you filed your 2023 Personal and Corporate tax returns ?
Yes
No
Please upload "2022 & 2023 filed Personal & Corporate Tax Returns" here
*
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Please upload "Last filed Personal & Corporate Tax Returns" here
*
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2023 Year to Date Profit and Loss Statements
*
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2023 Year to Date Balance Sheet
*
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Last 6 months corporate Bank statement
*
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Submit
Should be Empty: