Please complete all of the below fields to the best of your ability and provide as much detail as possible when prompted. Asterisked fields are required and the application cannot be submitted without completion of these fields. Please note that you CANNOT SAVE THIS APPLICATION ONCE YOU BEGIN; make sure you have all the required information on hand before completing.

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Name:*

Email:*

What is the requested financing amount?

What is your full name?

What is your email address?

What is your phone #?

Are you a US citizen or legal resident?

Have you ever defaulted on an SBA loan, student loan, or government guaranteed loan?

Are there any issues we should know about (BKs, foreclosures, tax liens, back taxes, judgments, convictions, lawsuits, NSFs, defaults, environmental, etc.)?

What is the purpose of this financing request?

If this financing is going to be used to purchase or refinance real estate, please list the full address of that real estate and the purchase price or amount of debt being refinanced (plus any working capital or renovation funds being requested)

What is the combined outstanding balance of all Merchant Cash Advances?

What is the combined outstanding balance of all SBA loans?

What is your percent business ownership?

What is your home address?

Do you own your residence?

What is your monthly rent or mortgage payment?

What is your credit score?

What is your annual household income including spouse?

What is the legal name of the business and any DBAs (if applicable)?

What date was the business started?

How many employees (other than you) does the business have?

What is the legal entity of the business? (Corporation, LLC, Partnership, ...)

What is the business address?

What is the business phone #?

What industry is the business in?

Does the business rent or own its office space?

Has the business accepted credit cards for at least 3 months?

What was the business's last year gross income?

What was the business's last year net operating income?

Has the business reported a profit on one of its last two business tax returns?

What is the value of your personal cash balances?

What is the value of your personal retirement balances?

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