Opening Doors Microloan Application

About the Loan

Let's find out more about your business loan needs
Form Sender Title to ODI
Form Sender Title to Client
Requested Loan Amount *
What is the minimum amount needed? *
How soon are the funds needed?

Month Day Year
Purpose of funds
Please be specific
Loan Type
Do you have a business checking account?

Yes No
What is the average bank account balance?
Do you have a business savings account?

Yes No
What is the average savings account balance?
Do you currently have debt which requires payments tied to business credit card sales?

Yes No
How much?
Do you own any Personal Assets that could be used to secure this loan request?
Please select Personal Asset to be used as collateral:
Type of Collateral:
Please be specific
Estimated Value:
Does the business have current employees? Enter number of employees
Enter "0" for none
How many jobs would your business create within the next 5 years? Please enter a number
Enter "0" for none
How did you hear about us?

About the Business

Let's find out more about your business
Business Name *
Complete Legal Name
Business email *
Business Website
Business Mobile Phone *
Employer Identification Number *
If an individual, enter social security number
Business Ownership Structure
Where do you conduct business
Please be specific
Is your business open part time, full time, seasonally, or not yet opened?
Business Hours
Days of Week/Hours Per Day
Year Business Started
mm/yyyy
How many years of business experience?
Business Industry Type
Brief description of your business
Have you received business consultation services?

Yes No
Please select a provider:
Name of provider:
Please select the type of service provided:
Type of service received:

About the Finances

Let's find out more about your business finances
Business Income and Assets
Business Income (per month) *
Average Monthly Gross Sales
Average Monthly Credit Card Sales
Do you have records and documentation to prove business income? *

Yes No
Does the business have any assets you would like to list?

Yes No
Please list all assets and estimated values: Cash, Equipment, Vehicles, Furniture, Real Estate
Business Debts and Liabilities
Cost of Goods Sold
Business Rent/Mortgage
Payroll (Besides yourself)
Utilities
Payments to credit cards, Vehicle and Other Loans
Insurance, Gasoline, Misc
Does the business have any debts or liabilities not listed above? Example: Sales taxes, Payroll taxes, Services

Yes No
Please list all debts and liabilities:

About the Owner

Let's find out more about you, the business owner
About the business owner: *

First Name Last Name
Social Security Number: *
Date of Birth *

Month Day Year
Business Owner Home Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
How long have you lived at this address? *
Preferred Telephone Number: *
Alternate Telephone Number:
Email *

Confirmation Email example@example.com
Driver's License Information: *
Number, expiration date, State,

About Your Personal Finances

Let's find out more about the business owner finances
Personal Income (per month)
Monthly take home income from business? *
Monthly regular employment income
W-2, 1099-MISC
Spouse's Monthly Income
W-2, 1099-MISC
Any other income?
Social Security, Child Support, Disability, Interest earnings, etc.)
Personal Expenses (per month)
Home Rent or Mortgage *
Food and Clothing *
Utilities
Vehicle and Other Loan Payments *
Credit Card Payments
Healthcare, Insurance, Gasoline
Child Support/Alimony
Education and Childcare
Other (specify)
How much?
Do you have a potential Co-borrower? A potential co-borrower must a partner with at least 20% ownership of the business or can be a household member.

Yes No
Co-borrower Information
Relationship
Name

First Name Last Name
Phone Number
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email
example@example.com
Date of birth

Month Day Year
Driver's License
Example: (last name), (first name); - DL number - Exp. Date
Monthly Income (all sources)
W-2, 1099-MISC
Monthly Debts (all sources)
Do you have additional Co-borrowers to consider?

Yes No
Additional Co-borrower Information
Name

First Name Last Name
Phone Number
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email
example@example.com
Date of birth

Month Day Year
Driver's License
Example: (last name), (first name); - DL number - Exp. Date
Monthly Income (all sources)
W-2, 1099-MISC
Monthly Debts (all sources

Almost Done...!

A few more optional questions and disclosures
Optional Information

The following information will not affect the loan decision
Veteran Status
Gender
Race
Are you of Hispanic or Latino origin?
Marital Status
Years of Education
Number of people in household (including you)
Do you have any credit issues you would like to disclose?
Please describe the issue
What is your preferred language?
Please make a selection
The following documents can be submitted in order for us to start reviewing the application. Please note that they may be other documentation needed, but the following list of items are some basic documents. Documentation is need for each borrower. Files must be less than 10MB.
- Full copies of last 2 years’ tax returns
- Full copies of last 3 months of personal banking statements
- Full copies of the last 3 months business banking statements
- Copies of last 3 months’ pay stubs
- Copy of Social Security Card
- Copy of Driver’s License
- Copy of Green Card (Refugee and Asylee programs)
- Fictitious business name statement
- Business license, seller's permit
- Business Plan
- Vehicle title or registration (if used as collateral)
- Proof of vehicle insurance
Browse Files

Cancel of
By clicking on submit, I attest that all of the information on this application is true. I authorize Opening Doors to investigate and verify the above information and contact any references regarding this application. I also authorize Opening Doors to perform a credit check, which may include obtaining consumer and/or commercial credit reports and to exchange information about credit experience with other creditors from time to time, as authorized by law. The release of all information by Opening Doors, in any manner, is hereby authorized whether such information is of record or not and I hereby release all persons, agencies, firms, companies, etc., from any damages resulting from such information. I understand that Opening Doors will retain this application whether the loan is approved or denied and that I can appeal Opening Doors's decision if the loan is denied.
Acknowledgement *

I have read and agreed to the above statement
Should be Empty:

MICROLOAN BUSINESS APPLICATION

Let's Get Started

About the Loan

About the Business

About the Finances

Business Income and Assets

Business Debts and Liabilities

About the Owner

About Your Personal Finances

Personal Income (per month)

Personal Expenses (per month)

Co-borrower Information

Additional Co-borrower Information

Almost Done...!

Optional Information