Feyzeon Capital Intake Form

Feyzeon Capital Intake Form

Client Funding Prep Intake Form
Selected Tier:
Select Tier
Client’s Name

First NameLast Name
Email
example@example.com
Business Legal Name
Your Business Name
DBA (if any )
Doing Business As
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone number
Please enter a valid phone number.Format: (000) 000-0000.
Business Email
example@example.com
Entity Type
Business Entity
EIN Number
Employer Identification Number
Date Business Started

MonthDayYear
Start Date
Do you have a Business Bank Account ?
Business Bank Name
How long with this bank?
How long have you been with this bank ?
Do you currently have any business credit reporting ?
Do you have any business credit?
Have you checked your D&B profile before?
If yes, what is your PAYDEX Score?
Your PAYDEX Score
How many tradelines currently Reporting?
How many Tradelines are reporting?
Net Profit (if Known)
Net Profit
Do you have financial statements? (Profit/Loss)
Personal Credit Score Range
Business credit established?
Current Total Credit Card Utilization %
Percentage %
Amount Seeking
Purpose of funds
What are the Funds needed for ?
Desired Timeline
Driver’s license /ID

Please upload your documents
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EIN

Please upload your documents
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Article of Organization

Upload proof of your entity
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Last 3 Months Bank Statements (optional)

Last 3 months Bank Statements
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Please Confirm.
Once submitted, your intake will be reviewed by the Feyzeon Capital team.

Based on your information, we will evaluate your business structure and determine your current funding readiness level and recommended next steps.

Please allow 24–48 hours to receive your follow-up. If additional information is needed, we may contact you to move your evaluation forward efficiently.
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