Personal Financial Statement
We want to know how much you need and what are you using it for.
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Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
How much funding do you need?
*
What did you need the funding for?
*
How are you going to pay the funding back?
*
Do you have any Assets? - Available Cash
Do you have any Assets? - Available Savings
Do you have any Assets? - Available Account Receivables
Do you have any Assets? - Available Life Insurance
Do you have any Assets? - Available Stocks and Bonds
Do you have any Assets? - Available Real Estate
Do you have any Assets? - Available Other Assets
Do you have any Liabilities?
What is your source of income?
Real Estate Owned?
Any Unpaid Taxes?
Any Life Insurance Held?
Signature
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Should be Empty: