Busiess Loan Application
By submitting this application, you authorize Bernard Consulting Services LLC and its funding sources to collect and verify all data necessary to evaluate your creditworthiness. You acknowledge that Bernard Consulting Services LLC acts only as an intermediary, and you agree to release and hold all funding sources, their affiliates, and their agents completely harmless from any claims or liabilities arising from the evaluation process. All final credit decisions are subject to the sole, absolute discretion of the funding source based on their independent underwriting criteria. You certify that all provided information is accurate and complete, agreeing that any misrepresentation may result in immediate denial or future revocation of credit. By proceeding, you provide irrevocable consent for your data to be shared with these funding sources, who remain fully indemnified against any actions related to this file.
Business Name
*
Business Type
*
Please Select
Sole Proprietorship
Partnership
Corporation
LLC
Nonprofit
Other
Industry
*
Please Select
Manufacturing
Retail
Health & Wellness
Healthcare
Sports & Entertainment
Trade Services
Automotive
Construction
Energy
Professional services
A.I/Technology
Other
Agent/Discount Code
*
example@example.com
Business Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
State of Incorporation
*
Contact Person Full Name
*
First Name
Last Name
Contact Email
*
example@example.com
Credit Score
*
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Year Established
*
Monthly Revenue (USD)
*
Funding Amount Requested (USD)
*
Purpose
*
Please Select
Working Capital
Equipment Purchase
Inventory
Expansion
Refinancing
Other
Brief description for use of proceeds
*
Documents required (3 months of business bank statements, articles of organization for LLC or Corp)
*
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By signing below, you agree to hold Bernard Consulting Services LLC and its funding sources harmless from any claims or liabilities arising from this application process. You acknowledge that all credit decisions are at the direct lender’s sole discretion, subject to their independent underwriting and final approval. You warrant that you have full legal authority to bind the organization to these terms and that all submitted information is accurate. You further agree to indemnify the direct lender for any reliance placed on the provided documentation. You understand that any misrepresentation or fraud may result in immediate denial, offer revocation, or legal action. By signing below, you acknowledge and authorize us to collect, process, and securely store the financial documentation provided for your application.We take your privacy seriously; all data is managed in full compliance with state and federal privacy regulations, including the Safeguards Rule. We are committed to maintaining the highest level of administrative and technical security to protect your sensitive information throughout our engagement.If you have any questions regarding your data or our security protocols, please contact us at bernardconsultingservices@gmail.com.
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