Funding Prequalification Form
Please provide your financial details to determine your eligibility for funding.
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you seeking personal or business funding?
*
Personal Funding
Business Funding
Both
What is your estimated credit score range?
*
Below 580
580-639
640-699
700-799
800 or above
How many late payments have you had in the past 12 months?
*
None
1-2
3-5
More than 5
Do you have any derogatory marks (collections, judgments, bankruptcies) on your credit?
*
No
Yes, collections
Yes, bankruptcies
Other
Are you in Chexsystems?
*
Yes
No
Do you have an LLC
*
Yes
No
How old is the LLC?
*
How much funding are you seeking?
*
What is your highest personal limit card?
*
How many primary accounts do you have? (auto loans, credit cards, student loans, mortgage)
*
Is your utilization under 20%, if not, what is it?
*
What is your average monthly income?
*
Submit Prequalification
Should be Empty: