Business Owner #1
First Name
Last Name
Owner #1's Email Address
example@example.com
Owner #1's Phone Number
Please enter a valid phone number.
Owner #1's Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Owner #1's % Ownership in the Business
Owner #1's credit score?
Please Select
Unknown, but should be excellent
Unknown, but should be good
Unknown, but probably fair
Unknown, but probably poor
600-650
651-700
700-725
725-750
750-775
775-800
800+
Business Owner #2
First Name
Last Name
Owner #2's Email Address
example@example.com
Owner #2's Phone Number
Please enter a valid phone number.
Owner #2's Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Owner #2's % Ownership in the Business
Owner #2's credit score?
Please Select
Unknown, but should be excellent
Unknown, but should be good
Unknown, but probably fair
Unknown, but probably poor
600-650
651-700
700-725
725-750
750-775
775-800
800+
Back
Next
What is the business's legal name?
What is the business's DBA name?
What type of Business is it? If starting a business, what kind will it be?
Please Select
Apparel
Auto Repair
Auto Sales
Aviation
Bar/Nightclub
Beauty/Salon/Spa
Call Center
Cannabis
Car Rental
Cell Phone Sales
Cleaning
Consulting
Construction
Contractor-Commercial
Contractor-Electrician
Contractor-General
Contractor-HVAC
Contractor-Landscaping
Contractor-Painting
Contractor-Paving
Contractor-Plumbing
Contractor-Roofing
Convenience Store
Courier Service
Drop Shipping/No Inventory
Day Care/Child Care
Design
Dry Cleaner
E-commerce
Electronic Sales
Entertainment
Environmental Services
Equipment-Rental
Equipment-Sales
Equipment-Service/Repair
Farming/Agriculture
Financial Services
Fitness Center
Florist
Fuel Delivery
Funeral Home
Hospitality
Furniture Store
Gas Station
Grocery Store
Hotel
Import/Export
Insurance
Janitorial
Junk Yard
Legal Services/Law Firm
Liquor Store
Logging
Manufacturing
Marketing
Medical-Chiropractor
Medical-Dental
Medical-Home Healthcare
Medical-Optometrist
Medical-Plastic Surgeon
Medical-Primary Care
Medical-Psychotherapy
Medical-Spa
Medical-Training
Medical-Veterinarian
Not for Profit
Nursery
Pest Control
Pet Groomer
Pharmacy
Photography
Printing
Professional Services
Property Management
Real Estate
Religious Institute
Restaurant
Retain
School/Education
Security
Sign Language Interpretation
Staffing
Storage
Technology
Towing
Transporation
Travel
Waste Management
Wholesale/Distributor
Window Tinting
Other
If you answered "other", please briefly describe it.
Business Address (if no formal business address, enter "N/A")
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How much do you need/want to borrow?
What will you be using the loan funds for?
Consolidating business debts, including real estate loans
Consolidating business debts, not including real estate loans
Buying out a partner
Equipment purchase
Expansion of existing business
Finance Accounts Receivable
Marketing
Payroll
Starting a business
Working Capital
Other
If purchasing a business with or without real estate, how much will your down payment be?
Which is most important to you?
Please Select
Amount of funds
Speed of funds
Cost of funds
How quickly do you need the money?
Please Select
Immediately
Within a week
Within 2 weeks
Within a month
Other
How long has the business been in operation?
Please Select
1-3 months
4-12 months
1-2 years
3-4 years
5+ years
Haven't started my business yet
Looking to acquire a business
State of Incorporation?
Please Select
N/A
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WI
WV
WY
Business Entity Type
Please Select
Corporation
Limited Liability Company (LLC)
Limited Liability Partnership (LLP)
Limited Partnership (LP)
Partnership
Sole Proprietor
Unknown
N/A
Average Monthly Sales
Please Select
$0
$1,000-$4,000
$5,000-$9,000
$10,000-$29,000
$30,000-$74,000
$75,000-$149,000
$150,000-$249,000
$250,000-$499,000
$500,000-$999,000
$1,000,000+
Comments about the Business You believe to be relevant:
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