FV Vantage Website Application

1
How much funding do you need?* This field is required.
2
Email* This field is required.
example@example.com
3
Personal Information* This field is required.
First and Last Name
Phone Number
Home Address
City
State
Zip
SSN
Personal Credit Score
4
Business Information* This field is required.
Legal Name of Business
dba
Address
City
State
Zip
Type of Business
Website
5
Business Information Continued* This field is required.
% of ownership
Average Annual Revenue
# of owners with over 20% ownership
EIN
Years in Business
# of locations
# of employees w2
# of employees 1099
6
What Assets Do You Have?* This field is required.Select All that Apply
Accounts Receivable - Open Invoices
Real Estate (Primary Residence)
Real Estate (Investment; Residential and/or commercial)
Equipment
Inventory
None of the Above
7
What will the funding be used for?* This field is required.(be as detailed as possible)
Huge
Large
Normal
Small
Ok
Ok
8
SignatureAuthorized signing Authority for the applicant business submitting this form.
Should be Empty: