Mr Blank Canvas Business Term Loan & Line of Credit Application

Mr Blank Canvas

Business Term Loan & Line of Credit Application
Estimated Time to Complete: 4–5 Minutes

Before You Begin:

This application is for a credit-based term loan or line of credit through one of our partner banks. Please review the criteria below to ensure your business qualifies:

- Approvals are based on your top-line 2024 revenue, verified by either a 2024 Profit & Loss statement or 2024 Tax Return
- A minimum credit score of 640 is required to proceed
-We cannot fund businesses with bankruptcies of any kind (past or open)
Your business must have a minimum of 2 years time in business (TIB)

To avoid delays or disqualification, please do not apply with other brokers while we review your file.
These bank programs are credit-based — and multiple inquiries will negatively impact your approval odds.
Legal Business Name*
Business Address (If Applicable)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you own or rent your business location*

Own (Business Mortgage / Owned Property)Rent (Lease / Rented Space)Home-Based Business
Years at Current Business Address*
Enter total years the business has operated at this location. If less than 1 year, round up or include months
Monthly Business Rent / Mortgage Payment*
Business EIN*
Business Start Date*

MonthDayYear
What do you do? | Industry*
Business Ownership %*
Please note you will need to own at least 51% to proceed.
Business Funding Amount Request ($)*
How many employees do you have?*
Full-time
How many employees do you have?*
Part-time & Subs
2023 & 2024 Personal & Business Tax Returns (ALL PAGES/SCHEDULES) *

Upload your two most recent personal and business tax returns (all pages/schedules). If you filed an extension, include the extension confirmation as well. Please upload your Tax Returns in PDF format.
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Business Bank Statement File Upload | Last 3 Months*

Please upload your bank statements in PDF format.
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Drivers License Upload*

Please upload a clear photo or scan of the front and back of your driver’s license.
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Applicant Information | Full Name*

First NameLast Name
Personal Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Time at Current Address (Years / Months)*
Do you own or rent?*

OwnRentRent Free
Monthly Rent / Mortgage Payment ($)*
Phone Number*
Please enter a valid phone number.
Date of Birth*

MonthDayYear
Social Security #*
Estimated Credit Score*
Personal Financial Information

This section is for the business owner’s personal banking and investment details. All information is confidential and used for underwriting only
Name of Personal Bank*
Example: Chase, Bank of America
Current Personal Bank Balance ($)*
Retirement / Investment Accounts*
401(k), IRA, or Other Retirement / Investment Account Balances ($)
In the past 10 years, have you filed for bankruptcy (personal or business), have any outstanding tax obligations, liens, or payment plans, or is there anything that could appear on a background check that we should be aware of?*

YesNO
If yes, please explain:

If your business currently has any other MCA loans - please list the lender name and estimated remaining balance. If there are none, please just skip and continue.

	Payable to institution and account number	Original Date	Original Amount	Present Balance	Interest Rate	Maturity Date	Monthly Payment	Current or Past Due
Debt 1
Debt 2
Debt 3
Debt 4
Debt 5
Debt 6
Debt 7

If your business currently has any other MCA loans - please list the lender name and estimated remaining balance. If there are none, please just skip and continue.

	Lender Name	Remaining Balance
Lender 1
Lender 2
Lender 3
Lender 4
Lender 5
Lender 6

Sign & Submit*

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Mr Blank Canvas

Personal Financial Information