Business Funding Questionnaire
Name
First Name
Last Name
Name of Company
Company Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
Cell Phone #:
*
US Citizen?
*
yes
No
FICO Score
*
Loan Amount
*
For how long are funds needed?
How was property acquired?
*
Purchase Price or AS-IS Value of the Property
What the funds will be used for?
After Repair Value of the Property
Experience of borrower
Primary exit to pay off lender
Secondary exit if exit #1 fails
Amount of equity in other owned properties
Are you employed or self-employed?
*
Full Time Employee
Part Time Employee
Self Employed
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