Pinnacle Advisor Finance Pre-Approval Questionnaire

Borrower Contact Information
Full Name*

First NameLast Name
Preferred Email Address*
example@example.com
Alternative Email Address
Preferred Phone*
Please enter a valid phone number.
Alternative Phone
Please enter a valid phone number.
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Loan Request
Type of loan requested*
Estimated loan amount requested*
Preferred loan closing date*

MonthDayYear
Date
Your Business Description
Legal Practice Name*
What percentage of this business do you own?*
Your broker dealer affiliation*
Your custodian*
Your current AUM*
Your T-12 gross revenue*
Your current estimated recurring revenue percentage
Do you own any other businesses?*

YesNo
Target/Seller's Business Description
Target's broker dealer affiliation
Target's custodian
Estimated total purchase price*
Target current AUM
Target T-12 gross revenue*
Target current estimated recurring revenue percentage
Indebtedness Being Refinanced
Total amount of indebtedness being refinanced*
Current monthly payments on indebtedness being refinanced
Borrower's Personal Financial Information & Background
Do you have more than 5 years of experience in the wealth management industry?*

YesNo
Are you in good standing with FINRA and/or the SEC?*

YesNo
Estimated personal credit score*
Your estimated personal liquidity*
Cash and marketable securites held in non-qualified accounts
Current estimated net worth*
Excluding value of your business
Current balance in qualified accounts*
Monthly payments on any current business loans*
Have you ever (check all that apply):

Filed bankruptcyBeen convicted of a felony
Is there an additional borrower?
Co-Borrower's Personal Financial Information & Background
Does the co-borrower have more than 5 years of experience in the wealth management industry?*

YesNo
Is the co-borrower in good standing with FINRA and/or the SEC?*

YesNo
Co-borrower's estimated personal credit score*
Co-borrower's estimated personal liquidity*
Cash and marketable securites held in non-qualified accounts
Co-borrower's current estimated net worth*
Excluding value of your business
Co-borrower's current balance in qualified accounts*
Co-borrower's monthly payments on any current business loans*
Has the co-borrower ever (check all that apply)

Filed bankruptcyBeen convicted of a felony
Is there an additional co-borrower?
Additional Co-Borrower's Personal Financial Information & Background
Does the additional co-borrower have more than 5 years of experience in the wealth management industry?*

YesNo
Is the additional co-borrower in good standing with FINRA and/or the SEC?*

YesNo
Additional co-borrower's estimated personal credit score*
Additional co-borrower's estimated personal liquidity*
Cash and marketable securites held in non-qualified accounts
Additional co-borrower's current estimated net worth*
Excluding value of your business
Additional co-borrower's current balance in qualified accounts*
Additional co-borrower's monthly payments on any current business loans*
Has the additional co-borrower ever (check all that apply)

Filed bankruptcyBeen convicted of a felony
Please add any additional comments you believe may be helpful to us as we evaluate your responses.
Please verify that you are human*
Should be Empty:

Borrower Contact Information

Loan Request

Your Business Description

Target/Seller's Business Description

Indebtedness Being Refinanced

Borrower's Personal Financial Information & Background

Co-Borrower's Personal Financial Information & Background

Additional Co-Borrower's Personal Financial Information & Background