QUICK FUNDING APPLICATION
ANSWER EACH QUESTION WITH HONESTY. While this Quick Funding Program offers funding with no proof of income, employment or collateral, it is important to still provide this information because it could provide an opportunity for you to receive more funding.
BUSINESS CONSULTANT FEE
THERE IS A 20% BUSINESS CONSULTANT FEE FROM THE FUNDING YOU RECEIVE IF YOU ARE NOT WILLING TO PAY THE 20% CONSULTANT FEE FROM THE FUNDS YOU GET, UPON RECEIPT. DO NOT PROCEED. YOU PAY NOTHING UPFRONT WITH THE EXCEPTION OF THE COST TO RECEIVE YOUR TRIMERGE CREDIT REPORT WHICH IS USUALLY ONLY $1.
Who Referred You?
*
Amount Requested: $
*
Minimum Loan Amount $1,000 Maximum Loan Amount: $50,000
What is the purpose of funding?:
*
PERSONAL INFORMATION
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Social Security Number
*
Date of Birth
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
COMPANY INFORMATION
Name of Company, if applicable
Is your company incorporated? If yes, what type of corporation.
What date was your business incorporated?
How much revenue does the company generate monthly?
Does the monthly revenue indicated above reflect in your bank deposits?
Have you filed last two years business tax returns?
Please Select
Yes
No
REAL ESTATE
Do you currently own any real estate including your primary residence, real estate investment property and/or commercial property?
Please Select
Yes
No
List your property addresses and include, approximate appraised value, balance owed, monthly payment, rental income if applicable, real estate taxes, annual insurance.
EMPLOYMENT INFORMATION
Employer Name, if retired please state retired.
How long have you been employed?
What is your provable monthly gross income?:
Additional Income, How much, how long, source?
Additional Income: Please indicate the source(s), how much you receive monthly and how long you have been receiving it.
MILITARY AFFILIATION
Are you military affiliated, meaning your spouse, parents or siblings have served in the military?
*
Please Select
Yes
No
If yes, please indicate who have served, even if it's multiple.
Self
Spouse
Parent
Sibling
Other
Please indicate if you currently bank with one of the military banks or if you know someone that could serve as your sponsor to help you get a bank account with one of the military banks. Please select all that are applicable.
*
Navy Federal Credit Union
USAA
Pen Fed
No, I do not bank with any of these banks and I don't know anyone.
Please all of the names of the banks you currently bank with.
*
CREDIT CHECK TOTAL
YOU MUST CHECK YOUR CREDIT NOW THROUGH CREDIT CHECK TOTAL AND PROVIDE THE INFORMATION BELOW IT ONLY COST $1. WE WILL NOT PROCESS YOUR APPLICATION IF THIS SECTION ISN'T COMPLETE AND ACCURATE. GO TO: WWW.CREDITCHECKTOTAL.COM CREDIT CHECK TOTAL LOGIN CREDENTIALS are CASE SENSITIVE, so make sure you enter it below the way you entered it when you completed your profile. The Cost is ONLY $1 for a Seven (7) day trial period. Thereafter, you should not incur a $29.95 monthly charge if you have never had an account with them. If you receive a turn-down, cancel this immediately. If you receive approval, your representative will inform you when to cancel. If you are already using EXPERIAN.COM they are the same as credit check total so indicate those credentials below. In the additonal information section, please indicate this is EXPERIAN. Having problems with CREDIT CHECK TOTAL, as an alternate you may use IDENTITY Q (https://www.identityiq.com). Please indicate that the credit report is with IDENTITY Q in the additional information box below.
Credit Check Total Username:
*
Credit Check Total Password
*
Credit Check Total Pin#
*
Credit Check Total Security Questions and Answers
*
What's your equifax score?
*
What's your experian score?
*
What's your transunion score?
*
BUSINESS CREDIT
Do you currently have business credit?
Please Select
Yes
No
No, but I would like to build business credit
Yes, but I have some negative business credit
What is your current business credit score? If you don't have one, simply put, N/A.
Please list any current business credit that you currently have whether it's vendor credit, store credit, business credit cards, business loans.
MERCHANT SERVICES
Does your business accept credit cards for payments?
Please Select
Yes
No
What company(ies) do you use to process credit cards.
What is your average monthly amount does your business process?
ADDITIONAL INFORMATION
Please share any additional information that would be pertinent to this application.
Signature
*
Submit
Should be Empty: