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Check Your Eligibility for a Business Loan
Please complete the form below. Please note this is NOT a loan application. If you meet the initial eligibility criteria for one of our business loan programs, a member of our team will contact you to review additional requirements. If you continue to meet the criteria, you’ll be invited to formally apply.
Note: If you are invited to formally apply, you will be asked to submit documentation to verify the information provided in this form.
First Name
*
Last Name
*
Email
example@example.com
Phone Number
*
Company/Business Name
Amount of Capital Requested
*
Please select a range.
Amount of Capital Desired
*
Please Select
$500 - $5000
$5001 - $10,000
$10,001 - $25,000
$25,001 - $50,000
Our loans range from $500 - $50,000.
1. I would want to use this loan for:
*
Working Capital
Inventory
Equipment
Technology
Business debt refinance
Other
2. My business has been operating for:
*
Please Select
Start-Up (less than 1 year)
1 year - 2 years
3 years - 5 years
6 years - 9 years
10 + years
Please note that if you are a startup business with $0 revenue, our maximum potential loan size is $2,500.
3. In the last 12 months, my estimated sales totaled:
*
Please Select
$0
$1,000 - $9,999
$10,000 - $24,999
$25,000 - $49,999
$50,000 - $99,999
$100,000 - $249,999
$250,000 - $499,999
$500,000 - $749,999
$750,000 - $1,000,000
$1M+
Note: If you have multiple sources of income, all additional sources must be verified.
4. In the last 12 months, my estimated profit totaled:
*
Please Select
$0 - $9,999
$10,000 - $24,999
$25,000 - $49,999
$50,000 - $99,999
$100,000+
Profit is your take home amount after you consider all business expenses. Please note, additional sources of income will need to be verified.
5. My estimated credit score is:
*
Please Select
0-579
580-669
670-739
740-799
800+
I don't know
6. (Select all that apply) I currently keep track of my credit accounts by:
*
I monitor my credit regularly and always know my balances and due dates.
I check my credit reports and statements occasionally, but I don’t track them daily.
I rely on auto-pay or payment reminders and don’t actively monitor my accounts.
I don’t check my credit accounts regularly and have missed payments before.
I’m not sure about the current status of my credit accounts.
7. I own at least 51% of my business
*
Please Select
Yes
No
Not Sure
The business has more than one owner.
Please note that if you are not the majority owner of the business, your business partner(s) must also apply for the loan.
8. My business is physically located in or operating in Los Angeles County
*
Yes
No
9. My business sells or involves one of the following
*
Please Select
Cannabis/Tobacco
Insurance
Non-profit organization
Passive income business
Religious organization
Multi-level marketing
Adult entertainment
Franchise business
Sell of goods that promote violence
Liquor Store
None of the above
10. I understand that if I am invited to formally apply for a loan, I will be required to submit supporting documentation. I am currently able to provide the following: (Select all that apply)
*
Government-issued ID (Driver’s License, Passport, or ITIN card)
Proof of address (utility bill, lease agreement, or bank statement)
Business bank statements (last 3–6 months)
Personal tax returns (last 1–2 years)
Business tax returns (last 1–2 years)
Business licenses or permits
Profit & loss statement
Business balance sheet
11. I learned / heard about Inclusive Action for the City via
*
Please Select
Newsletter
Past/Current Loan Client
News/Article
Social Media
Online Search
Presentation/Tabling
Inclusive Action Staff
Other Organization
Other
12. Preferred Language
*
Please Select
English
Spanish
Korean
Mandarin
Cantonese
Japanese
Tagalog
Khmer
Thai
Armenian
Other
Preferred Language
13. In a few words, please describe your business operation or industry:
*
Check Eligibility
Should be Empty: