Accounts Receivable Pre-Approval Form

Pre-Approval Form
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
How much do you currently have in outstanding Accounts Receivable?
How much funding do you need?
When do you need the money?
Do you have at least $20,000 in monthly deposits?
Average Monthly Deposits over last 4 months?
Do you know your credit?
How long have you been in business?
What does your business do? (Brief Description)
Marketing Permissions
Best Time to Contact
Any open Bankruptcies?
Current Loans to Other Lenders ?
Are you 51% owner of business?
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Should be Empty: