Pre-qualification Business Loan Application

1
Legal Business Name/DBA* This field is required.
Business Name
2
Are You The Owner?
YESNO
3
Only a business owner for the named business from the first question can complete the application!
4
Are There Multiple Owners?
YESNO
5
Ownership Percentage* This field is required.
6
Type of Loan* This field is required.
Please Select
Please Select
Equipment Financing
Merchant Cash Advance
Invoice Financing
Working Capital
Line of Credit
Unsecured Funding
SBA
Other (Explain in Purpose of Loan if unsure)
7
Business Entity Type* This field is required.
Please Select
Please Select
Sole Proprietorship
Partnership
Corporation
LLC
8
Industry* This field is required.
9
Time in Business* This field is required.
Please Select
Please Select
Less than 6 months
6-12 months
1-2 years
2-5 years
5 + years
10
Business Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
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
11
Role/Title* This field is required.
12
Owner's Full Name* This field is required.
First Name
Last Name
13
Owner's Email* This field is required.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code?or
Receiving the email may take a few minutes, thank you for your patience!
14
Preferred Phone Number* This field is required.
Please enter a valid phone number.
15
Preferred Contact Time* This field is required.
Please Select
Please Select
Morning (8am-12pm)
Afternoon (12pm-5pm)
Evening (5pm-8pm)
16
Personal Credit Score* This field is required.
Do not guess; enter your current Experian score
17
Business Revenue Last Month* This field is required.
Enter gross revenue for the most recent full month
18
Business Revenue 2 Months Ago* This field is required.
Enter gross revenue for the second most recent month
19
Business Revenue 3 Months Ago * This field is required.
Enter gross revenue for the third most recent month
20
Annual Business Revenue* This field is required.
Enter the business’s annual gross revenue
21
Upload Vendor Equipment List(s)If refinancing used equipment, upload appraisal or inspection report
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Browse Files
Cancelof
22
Accounts Receivable Aging Report
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Browse Files
Cancelof
23
Funding Amount Requested* This field is required.
24
Purpose of Loan* This field is required.Be as detailed as possible
25
How Soon Do You Need Funding* This field is required.
Please Select
Please Select
ASAP
within 30 days
30-60 days
Just Exploring
26
Authorization & Consent Agreement* This field is required.By submitting this application, you (“Applicant”) agree to the following terms. Please read carefully—this document covers how we contact you, how we use your information, and what happens next. 1. Credit Pull Authorization You give the selected lender permission to obtain your personal and/or business credit report. This will include a hard pull once you move forward with the specific lender. A hard pull may temporarily affect your credit score. They may pull credit from one or more of the major credit bureaus (Equifax, Experian, TransUnion) or business credit agencies (Dun & Bradstreet, SBFE, LexisNexis). 2. Lender Submission Authorization You authorize Magenta Commercial Capital to share your application, financial information, and supporting documents with third-party lenders, funding partners, and financial institutions in our network for the purpose of securing financing on your behalf. We will only share your information with lenders who may be able to meet your financing needs. We are not obligated to submit to any specific lender, and submission does not guarantee approval. 3. Communications Consent (TCPA) You authorize Magenta Commercial Capital and its partners to contact you regarding your application and related financing opportunities using: • Phone calls (including calls made with an autodialer or prerecorded messages) • Text messages (SMS/MMS) • Emails You may opt out at any time by replying STOP to any text message or by contacting us directly. Message and data rates may apply. Consent to receive marketing communications is not required to obtain our services. 4. Electronic Signature & E-Sign Consent You agree to conduct business with us electronically. This means that your electronic signature, typed name, or digital acknowledgment carries the same legal weight as a handwritten signature, in accordance with the Electronic Signatures in Global and National Commerce Act (E-SIGN Act). You have the right to request paper copies of any documents. To do so, contact us directly. 5. Privacy & Data Use We take your privacy seriously. The information you provide will be used to: • Process and evaluate your financing application • Match you with appropriate lenders in our network • Communicate with you about your application status • Comply with legal and regulatory obligations We do not sell your personal information to third parties for marketing purposes. Your data may be shared with lenders, service providers, and as required by law. For full details, request to review our Privacy Policy. 6. Broker Fee Disclosure Magenta Commercial Capital earns a broker fee for arranging financing on your behalf. Here is how the fee works: • The fee is determined by the type of loan product being arranged and will be clearly outlined on the term sheet provided by the lender (or a separate broker agreement). • In most cases, the broker fee is included in the lender fees on your closing documents. In some instances, depending on the loan product and lender, the fee may be paid separately by you, the client. • The broker fee is ONLY collected at the time of funding; you owe nothing unless your loan closes. • You will have the opportunity to review and approve the separate broker fee before moving forward. We are committed to full transparency. If you have any questions about the fee at any point in the process, please ask before signing anything. The fee isn't determined until after the pre-qualification process to determine the type of loan and the lender who can fund it. 7. No Guarantee of Funding Submitting this application and receiving a prequalification does not guarantee loan approval, specific loan terms, or funding. Final approval decisions are made solely by the lender. Loan terms, rates, and amounts are subject to change based on full underwriting review. ACKNOWLEDGMENT & SIGNATURE By typing “I Agree” and signing below (or on the following screen), you confirm that: • You have read and understand all sections of this agreement • You are authorized to enter into this agreement on behalf of the business listed in the application • All information provided in your application is accurate and complete to the best of your knowledge
Type "I Agree"
27
Signature* This field is required.
28
Date* This field is required.
Date
Month
Day
Year
29
CAPTCHA* This field is required.
Should be Empty: