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Business Lending
First Name
Last Name
Email
Phone
Address
Address 2
City
State
Zip (mailing)
Country of Current Residence
Citizenship
US Citizen
US Resident
Foreign National
Requested Loan Amount (in dollars)
Purpose of the loan
Business Start-Up
Business Acquisition
Buy/Refinance Machinery or Equipment
Working Capital
Please rate your credit
Great (score 720+)
Good (score 680 - 719)
Fair (650 - 679)
Poor (Less than 650)
Foreign National
N/A
How many years has the business been in operation?
Haven't opened it yet
Less than 2 years
2 to 4 years
more than 5 years
N/A
How many years of industry experience do you have?
Less than 2 years
2 to 4 years
more than 5 years
N/A
For existing businesses: Do you think your business historically generates enough net income to easily cover this future loan and current existing debt?
Yes
No
N/A (Business Startup)
Business Startup: Can you come up with at least 30% of the needed funds to start the business?
Yes
No
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?
Agriculture
Automotive Repair and Maintenance
Bar/Tavern
Construction Related Trade/Industry
Daycare/Children's Nursery
Finance / Insurance related
Fitness
Forestry, Fishing, and Hunting
Gas/Service station
Grocery store / Supermarket / Convenience store
Hotels and other Lodging places
Landscape and Yard Services
Legal Services
Liquor Store
Manufacturing
Medical - Chiropractor
Medical - Other
Medical - Physician / Dental /Veterinarian
Real Estate Sales or Rental
Religious Organization
Retail Other
Storage or Warehouse
Transportation
Trucking / Freight
Wholesale Trade
Other Services - Business to Business
Other Services - Business to Consumer
Can loan be 100% secured by Real Estate?
Yes
No
Is 51% or more of the business owned by U.S citizen(s) or a U.S. permanent resident aliens?
Yes
No
For new businesses: Do you have additional sources of income that can help pay this loan?
Yes
No
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:
Operating Lease (You don't want ownership)
Capital Lease (You eventually want ownership)
Sale Leaseback (You have equipment that you want to borrow)
Machinery or Equipment: Type of Equipment:
Agricultural
Construction
Exercise / Gym
Golf
Landscaping
Medical / Health Care
Office
Restaurant
Trucking / Transportation
Other
Machinery or Equipment: Age of Equipment:
New Equipment
Less than 2 yrs old
2-4 yrs old
4 - 6 yrs old
6+ yrs old
Additional Information
Referred by
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