Clone of TRIPOLI CAPITAL APPLICATION

1
How Much Do You Need?* This field is required.
2
What Are You Using The Money For?* This field is required.
Buy Out a Partner
Equipment
Expansion
Finance Accounts Receivable
Marketing
Payroll
Purchase a Business
Purchase a Franchise
Real Estate
Start a Business
Working Capital
Other
3
Which is Most Important to You?* This field is required.
Amount of Funds
Speed of Funds
Cost of Funds
4
How Fast Do You Need the Money?* This field is required.
Immediately
Within a Week
Within 2 Weeks
Within a Month
5
How Long Have You Been in Business?* This field is required.
1-3 Months
4-12 Months
1-2 Years
3-4 Years
5+ Years
6
Average Monthly Sales* This field is required.
Less than $10,000
$10,000 - $25,000
$25,000 - $50,000
$50,000 - $100,000
$100,000 - $250,000
$250,000 - $1,000,000+
7
Personal Credit Score* This field is required.Note: Applying will not affect your credit score.
720+
700-749
650-699
600-649
Below 600
8
Business Industry* This field is required.
Please Select
Please Select
Apparel
Auto - Repair
Auto - Sales
Aviation
Bar/Nightclub
Beauty/Salon/Spa
Call Center
Cannabis
Car Rental
Cell Phone Sales
Cleaning
Consulting
Construction
Contractor - Commercial
Contractor - Electrician
Contractor - General
Contractor - HVAC
Contractor - Landscaping
Contractor - Painting
Contractor - Paving
Contractor - Plumbing
Contractor - Roofing
Convenience Store
Courier Service
Drop Shipping/No Inventory
Day Care/Child Care
Design
Dry Cleaner
E-Commerce
Electronic Sales
Entertainment
Environmental Services
Equipment - Rental
Equipment - Sales
Equipment - Service/Repair
Farming/Agriculture
Financial Services
Fitness Center
Florist
Fuel Delivery
Home
Furniture Store
Gas Station
Grocery Store
Hotel
Import/Export
Insurance
Janitorial
Junk Yard
Legal Services/Law Firm
Liquor Store
Logging
Manufacturing
Marketing
Medical - Chiropractor
Medical - Dental
Medical - Home Healthcare
Medical - Optometrist
Medical - Plastic Surgeon
Medical - Primary Care
Medical - Psychotherapists
Medical - Spa
Medical - Training
Medical - Veterinarian
Non For Profit
Nursery
Pest Control
Pet Groomer
Pharmacy
Photography
Printing
Professional Services
Property Management
Real Estate
Religious Institute
Restaurant
Retail
School/Education
Security
Sign Language Interpretation
Staffing
Technology
Towing
Transportation
Travel
Waste Management
Wholesale/Distributor
Window Tinting
Other
9
Your Legal Name:* This field is required.
First Name
Last Name
10
Business Legal Name:* This field is required.
11
Mobile Number
Please enter a valid phone number.
12
Personal Email* This field is required.
example@example.com
13
Date of Birth* This field is required.
Date
Month
Day
Year
14
Social Security Number (SSN)* This field is required.
15
Business Entity Type
Corporation
Limited Liability Company (LLC)
Limited Liability Partnership (LLP)
Limited Partnership (LP)
Partnership
Sole Proprietor
16
Business Information* This field is required.
17
Business Address
Street Address
Street Address Line 2
City
Please Select
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
18
Business Start Date
Date
Month
Day
Year
19
State of Incorporation* This field is required.
Please Select
Please Select
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
20
Signature
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21
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22
Upload Voided Check
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23
Upload Drivers License (Front)
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