Email: contact@abovezonecapital.com Website: https://bizfundingunlocked.com/ Phone: (229) 215‑5757
Above Zone Capital™ Referral/Lead Intake Form
Please provide detailed information for your referral partner and lead submissions to Above Zone Capital™. Additionally, please provide accurate information for IRS compliance purposes. Above Zone Capital™ is required to issue a Form 1099-NEC to individuals or businesses who earn $600 or more in commissions within a calendar year. We collect this information upfront to ensure smooth, compliant payments.
Who is completing this form? (Borrower / Referral Partner / AZC Team Member)
Borrower
Referral Partner
AZC Team Member
Referrer's Full Name
First Name
Last Name
Referrer's Email
example@example.com
Referrer's Phone
Please enter a valid phone number.
Format: (000) 000-0000.
How did you hear about Above Zone Capital™? (Referral Partner, Social Media, Website,Event, Other)
Referral Partner
Social Media
Website
Event
Other
Back
Next
Legal Business Name
First Name
Last Name
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
example@example.com
Business EIN
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Doing Business As (DBA), if different
Business Structure (LLC, Corporation, Partnership, Sole Proprietor, Nonprofit)
LLC
Corporation
Partnership
Sole Proprietor
Nonprofit
Business Start Date (MM/DD/YYYY)
-
Month
-
Day
Year
Date
Industry / Nature of Business
Website or Social Media Handle
Full Name of Business Owner / Authorized Signer
First Name
Last Name
Title / Role
Preferred Contact Method (Email, Phone, Text Message)
Email
Phone
Text Message
What type of funding is being requested? (Line of Credit, Term Loan, Bridge Loan, DSCR, Refinance, Commercial Real Estate, Equipment, Other)
Line of Credit
Term Loan
Bridge Loan
DSCR (Debt Service Coverage Ratio)
Refinance
Commercial Real Estate
Equipment
Other
Approximate Funding Amount Requested ($)
Intended Use of Funds
Back
Next
Acknowledgements
Independent Contractor Status – I acknowledge I am a 1099 consultant, not an employee of Above Zone Capital™.
Compensation Structure – I understand all compensation is commission‑based,calculated at 0.05% of successfully funded deals.
Referral Qualification Notice – I understand not all referrals will qualify. Above Zone Capital™ and its lending partners will conduct independent credit and eligibility reviews. Referrers receive communication only when a deal moves forward for fundingconsideration.
Payment Timeline – I understand commission payments vary and are typically disbursed within 5–7 business days after the borrower receives funds and Above Zone Capital™ confirms lender payment.
By submitting this form, I acknowledge that Above Zone Capital™ may issue a Form 1099-NEC for total commissions exceeding $600 in a calendar year, as required by federal law.
Payment Preference (ACH, PayPal, Other)
ACH
PayPal
Other
Legal Name for 1099 Form
Enter the full legal name as registered with the Secretary of State.
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Last 4 Digits of SSN or EIN
Digital Signature & Date
*
Date
-
Month
-
Day
Year
Date
Submit Referral/Lead
Submit Referral/Lead
Should be Empty: