Business Funding Qualification Form
For existing clients only. Submit underwriting details and required documents so we can evaluate eligibility and match the best business funding option.
Business Qualification
How long has the business been operating (in years)?
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Average monthly gross revenue
*
Approximate number of deposits into the business bank account each month
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Do you have an active business checking account?
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Yes
No
Primary payment method generating most business revenue
*
Please Select
Credit/Debit Card Payments
ACH / Bank Transfers
Checks
Cash
Wire Transfers
A Combination of the Above
Approximately how many credit card processing batches does the business settle each month?
Existing Business Financing
Does your business currently have any outstanding business financing?
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Yes
No
Briefly describe the existing financing
Approximate remaining balance(s)
Financial History
Did the business or any owner/guarantor file for bankruptcy within the past 7 years?
*
Yes
No
Year of bankruptcy filing
Current bankruptcy status
Please Select
Active
Discharged
Dismissed
Other
Funding Request
How soon do you need funding?
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Immediately (Within 24–48 hours)
Within 7 days
Within 30 days
Just exploring my options
Requested Funding Amount
*
Primary Purpose of Funds
*
Please Select
Working Capital
Payroll
Inventory
Equipment
Business Expansion
Marketing
Debt Consolidation
Other
Required Documents
Government-Issued Photo ID (Only If Not Previously Submitted)
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Proof of Partnership or Business (Articles of Organization)
*
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Last 4 months/ Recent Business Bank Statements
*
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of
Credit Card Processor Statements (If Applicable)
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of
Business Lease (If Applicable)
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Business License (If Applicable)
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Broker Compensation Disclosure
Noble Financial Group Capital LLC does not charge an upfront brokerage fee for business funding services. If funding is successfully obtained through one of our lending or funding partners, Noble Financial Group Capital LLC may receive compensation from the funding source and/or, where separately agreed to in writing, a success-based fee from the client. Funding approval is subject to the underwriting requirements of the participating lender or funding partner and is not guaranteed.
I have read and acknowledge the Broker Compensation Disclosure.
*
I have read and acknowledge the Broker Compensation Disclosure.
I certify that all information provided in this application is true and accurate. I understand that knowingly providing false or misleading information may result in denial of funding consideration.
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I certify that all information provided in this application is true and accurate. I understand that knowingly providing false or misleading information may result in denial of funding consideration.
Business Funding Services Authorization
I certify that all information and documents I have provided are true, complete, and accurate to the best of my knowledge. I authorize Noble Financial Group Capital LLC to evaluate my business for available financing options and to present my information to participating lenders, financial institutions, or funding partners for the purpose of obtaining business financing. I understand that submitting this application does not guarantee funding approval or loan approval.
Printed Full Name
*
First Name
Last Name
Business Title
*
Electronic Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Qualification
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