Business Lending

First Name

Last Name

Phone

Address

Address 2

City

State

Zip (mailing)

Country of Current Residence

Citizenship

Requested Loan Amount (in dollars)

Purpose of the loan

Please rate your credit

How many years has the business been in operation?

How many years of industry experience do you have?

For existing businesses: Do you think your business historically generates enough net income to easily cover this future loan and current existing debt?

Business Startup: Can you come up with at least 30% of the needed funds to start the business?

Full address where your business is located

If you talked to any Banks OR Lenders already let's take them out of the mix. Please list any bank(s) or Lender(s) you talked to

What category best describes your business?

Can loan be 100% secured by Real Estate?

Is 51% or more of the business owned by U.S citizen(s) or a U.S. permanent resident aliens?

For new businesses: Do you have additional sources of income that can help pay this loan?

what is the purchase price, if most of the proceeds will be used to buy an asset.

Complete the following 3 questions if you are buying or refinancing machinery or equipment with the loan proceeds

Machinery or Equipment: Interested in:

Machinery or Equipment: Type of Equipment:

Machinery or Equipment: Age of Equipment:

Additional Information

Referred by

Business Lending

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