The Better Finance Solutions Business Funding Pre Qualification Form
Ready to explore business funding opportunities? Complete our brief pre-qualification assessment to help us evaluate your business profile and identify potential financing options through our participating lender network.
This preliminary assessment does not guarantee approval or constitute a commitment to lend.
Business Owner Information
First Name
*
Last Name
*
Email Address
*
example@example.com
Mobile Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you an owner or authorized representative of this business?
*
Yes
No
Business Information
Legal Business Name
*
Business Structure
*
Please Select
LLC
Corporation
Sole Proprietorship
Partnership
Other
State of Business Registration
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington, DC
Business Industry
*
Please Select
Transportation / Trucking
Construction
Retail / E-commerce
Healthcare
Beauty / Wellness
Restaurant / Food Services
Real Estate
Professional Services
Technology
Cleaning Services
Other
How Long Has Your Business Been Operating?
*
Less than 6 months
6–11 months
1–2 years
2–5 years
More than 5 years
Does Your Business Have an EIN?
*
Yes
No
Revenue & Business Banking
What Is Your Average Monthly Gross Business Revenue?
*
Less than $5,000
$5,000–$9,999
$10,000–$24,999
$25,000–$49,999
$50,000–$99,999
$100,000 or more
Does Your Business Have an Active Business Bank Account?
*
Yes
No
How Much Does Your Business Typically Deposit Into Its Business Bank Account Each Month?
*
Less than $5,000
$5,000–$9,999
$10,000–$24,999
$25,000–$49,999
$50,000 or more
Not applicable / No business bank account
Does Your Business Currently Have Outstanding Business Loans, Merchant Cash Advances, or Other Financing?
*
Yes
No
Not Sure
Approximate Total Outstanding Balance
Credit Profile
What Is Your Estimated Personal Credit Score?
*
Below 580
580–619
620–659
660–679
680–719
720–759
760+
Not Sure
Have You or Your Business Filed for Bankruptcy Within the Last 7 Years?
*
Yes
No
Prefer to Discuss Privately
Do You Currently Have Any Major Delinquencies or Defaults on Existing Business Financing?
*
Yes
No
Not Sure
Funding Request
How Much Business Funding Are You Seeking?
*
Under $10,000
$10,000–$24,999
$25,000–$49,999
$50,000–$99,999
$100,000–$249,999
$250,000–$499,999
$500,000 or more
What Is Your Primary Funding Purpose?
*
Working Capital / Cash Flow
Equipment Purchase or Lease
Inventory
Marketing / Advertising
Debt Consolidation / Refinance
Expansion (New Location, Staff, etc.)
Vehicle Purchase or Lease
Other
How Soon Are You Looking to Secure Funding?
*
Immediately (within 1–2 weeks)
Within 30 days
1–3 months
3–6 months
More than 6 months
Consent & Next Steps
Best Way to Contact You
*
Phone
Email
Text Message
Any of the Above
Preferred Contact Time
Morning
Afternoon
Evening
No Preference
I confirm that I am an owner or authorized representative of the business listed above and that the information provided is accurate to the best of my knowledge. I understand that this is a preliminary pre-qualification assessment and not a formal credit application or commitment to lend. I authorize The Better Finance Solutions LLC and its participating lender partners to review the information provided for the purpose of assessing potential funding options.
*
I agree
Submit
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