* BUSINESS LOAN *

* BUSINESS FUNDING
"Secure The Funds Your Business Needs"
Business Owner Information:
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Business Funding:
Do you need to get access to $50,000+ at 0% or low interest to fund your Business & Investments?*

YesNoLearn More
Do you ned assistance to repair your credit?*

YesNoLearn More
Business Details:
Do you own an LLC?*

YesNo
Business Type*

Limited Liability LLCSole PropiertorshipPartnershipC CorporationS Corporation
State of Business Registration *
Loan Details:
Amount Required:*
Choose All Aplicable Options:*

Asset Based Line of CreditBusiness AcquisitionsBusiness Line of CreditCash Flow InventoryDown Payment Loan/Bad CreditEquipment FinancingExpansionFranchise FinancingInvoice FactoringPayrollPurchase Order FinancingReceivable FinancingSBA 7A LoanSBA 504 LoanEstablished Unsecured Small Business LoanStart Up Business Credit Card StakingStart Up Business LoanSubordinate LoanSubprime LoanWorking Capital
Age of Business:*

Brand New6 - 12 Months1 - 2 YearsMore than 2 Years
Business Industry :*

ConstructionTransportationWarehouseFood ServicesRetail TradeHealth CareOther
Annual Revenue:*

$0 - $9,999$10,000 - $49,999$50,000 - $99,999$100,000 - $199,999$200,000 - $499,999$500,000 - $999,999$1,000,000 - $1,999,999$2,000,000 - $2,999,999More than $3,000,000
Credit Details:
FICO Score:*

Excellent (720-850)Good (660-719)Fair (600-659)Poor (300-599)No Credit
Credit History:
Payment History*

Never LateLate 30 days +Late 60 days +Late 90 days +
Amount of Debt*

0%30%60%90%
Length of Credit*

0 years2 years +5 years +10 years +
Number of Inquiries in the last 2 years*

02 +5 +10 +
How many Active Installment Lines of Credit do you have?*

02 +5 +10 +
How many Active Revolving Lines of Credit do you have?*

02 +5 +10 +
Do you have any Negative Accounts or Collections?*

YesNo
Have you filed Bankruptcy in the last 7 years?*

YesNo
Please provide the Name of the Business, Loan Officer, Broker, connector or friend who referred you to us. If not applicable type N/A*
Consent:
I authorize Simple Scale to obtain my personal information. This information will be referred to in connection with any relationships we may establish from time to time*

YesNo
I hereby agree that the information given is true, accurate and complete as of the date of this submission.*

YesNo
Let me help you FUND your Business.

Any Size - Any Amount!
Do you have any other information, Needs or Questions that could help us to tailor your application better?
We are on your side.
Should be Empty:

* BUSINESS FUNDING

"Secure The Funds Your Business Needs"

Credit History:

Consent:

Let me help you FUND your Business.

We are on your side.