FullyFundable Business Loan Inquiry

INTRO FUNDING INQUIRY/ASSESSMENT

(no credit pull or documentation necessary at this phase)
** PLEASE NOTE ** Information entered within this form will be shared with a minimum number of select lending partners of FullyFundable for review, assessment, and consultative purposes.

FullyFundable makes best efforts to ensure your information will not be shared or sold to any parties beyond those parties.
Name of Person Completing Inquiry Form (social name, not formal)*

First NameLast Name
Are you a United States Citizen or Permanent Resident (Green Card Holder)?*

YESNOIn Process
Primary Business Legal Name of Company Requesting Funding*
Company URL / Website Address (of primary business homepage)*
How did you discover FullyFundable?*
Referral / Other Source or Specific Event
Desired Loan/Funding Amount*
(Range: What's the least and most amount you can put to productive use in the near future?)
Desired Use(s) of Funding (check all that apply)*

Working CapitalMarketing/AdvertisingHiring / StaffingInventoryBusiness Travel (Transport, Lodging) / Events / NetworkingProfessional Training / Continuing EducationEquipmentDebt Consolidation/RestructuringResearch & Development (R&D)SuppliesTechnologyConstructionExpansion (add additional location(s) of same business)Business AcquisitionOther
What is your urgency level for this funding inquiry?*

We need an infusion of outside capital/credit ASAP (within 1 week)We need/want an infusion of outside capital/credit in the next 30 daysWe're looking to line up some additional capital/credit for the next 30-90 daysWe're just exploring my options but don't really need any outside capital within the next 90 days
State of Entity Registration*
(or state of residence if Sole Prop.)
Business Start Date (Month/Year) (since incorporation)*
Briefly describe what your business does, who it serves, and anything unique about your products/services, business model, expertise, etc.*
Average Monthly Sales (in past 6 months)*
(please include dollar sign and commas for clear legibility)
2024 Gross/Top-line Revenue/Sales*
2024 Net Income (Profit/Loss)*
Do you regularly carry Accounts Receivable (A/R)?*

YesNo
TOTAL amount of current A/R (per month)
Does your business own product inventory?*

YesNo
What types of products and how much TOTAL inventory value currently?
How much are your total business expenses per month (average)?*
e.g. $10,000
How many months of business expenses do you have in cash reserves?*

01-34-67-12More than 12
Total CURRENT Commercial Debt and Monthly Payment (estimate)*
Name of Primary Applicant*

First NameLast Name
% Ownership*
Title*
Mobile Phone Number*

Area CodePhone Number
Email Address of Applicant*
Estimated Personal Credit Score (type actual score under "Other" if you know it)*

800+ (exceptional)700-799 (prime)650-699 (good)600-649 (fair)< 600 (poor)Other
Please add any other information about your business and situation that you believe is important for us to know when determining what type(s) of funding may be most ideal for you right now, and in the future (help us come up with a "funding plan" for you, not just a one-off business loan.
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INTRO FUNDING INQUIRY/ASSESSMENT