Email: contact@abovezonecapital.com Website: www.bizfundingunlocked.com Phone: (229) 215‑5757
“Internal form for recording loan funding details, verifying lender payment, and authorizing commission disbursement to referral partners.”
Referral ID or Deal ID (match with the original Referral Intake Form record)
Referral ID
Deal ID
Borrower / Business Name
Funding Amount Approved ($)
Funding Date (MM/DD/YYYY)
-
Month
-
Day
Year
Date
Lender / Program Name
Loan Type (Line of Credit, Term Loan, Bridge Loan, DSCR, etc.)
Line of Credit
Term Loan
Bridge Loan
DSCR (Debt Service Coverage Ratio)
Other
Referrer Name (as listed in Intake Form)
First Name
Last Name
Referrer Email
example@example.com
Referrer Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Loan Amount
Commission Rate (%) – default 0.5% unless otherwise approved
Commission Amount ($) – auto-calculated or entered manually
Payment Method (ACH, PayPal, Other)
ACH
PayPal
Other
Payment Status (Pending / Paid / Hold / Canceled)
Please Select
Pending
Paid
Hold
Canceled
Date Paid to Referrer (MM/DD/YYYY)
-
Month
-
Day
Year
Date
Attach Proof of Payment (upload bank receipt, PayPal confirmation, or screenshot)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Notes / Internal Comments
Staff Member Completing Form
First Name
Last Name
Reviewed By (optional approval signature)
First Name
Last Name
Digital Signature (required for payout authorization)
Date Submitted
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: