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E2 Funding Passport Application
Please Fill out this form to get started ***700+ Credit Score Required*** PLEASE BE SURE TO ANSWER QUESTIONS AS ACCURATE AS POSSIBLE FOR THE BEST RESULTS
10
Questions
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1
Confirm: your are filling this out because you are ACTIVELY seeking funding
YES
NO
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2
Which Best Describes you?*
I want to fund my new business
I want to scale/grow my existing business
I want to invest and grow my portfolio
None of the above
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3
What is your credit score?
750+
700 - 750
680 - 700
650 - 679
650 or Below
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4
Have you had any of the following?
Bankruptcy
Late Payment (Within the last 12 months)
Collections/Charge-offs
None of the above
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5
What is your personal credit card utilization?
Under 30%
Over 30%, but I can pay it down with-in the next 30-60 days
Over 30%, but I can not pay it down
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6
What funding amount would support your goals?
0 - $50,000
$50,000 - $100,000
$100,000 - $250,000
$250,000 - $500,000
$500,000 +
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7
How many inquries have you accrued? (within the past 12 months)
0-2
3-4
5+
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8
Please Provide your Contact Information Below
You will receive a response from a funding advisor within 24hrs
Full Name
Email Address
Contact Number
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Row 0, Column 1
Row 0, Column 2
Full Name
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Email Address
Row 0, Column 1
Contact Number
Row 0, Column 2
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9
How did you hear about us?
*
This field is required.
Please Select
Social Media
Internet
Referral
Other
Please Select
Please Select
Social Media
Internet
Referral
Other
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10
Please share any additional information you feel may be relevant
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