Funding Inquiry

Welcome to our loan application inquiry form. Please take a few minutes to fill out the following questions truthfully, which will help us understand your financial situation and loan needs. Providing accurate information will help us to be able to determine the best way to help you get the funding you need for your business.

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Name *

First

Last

Email *

Phone Number *

Credit Score *

• 700+
• 680-699
• 660-679
• 600 to 659
• Below 600

Employment Status

• Employed (W2)
• Self Employed
• Both

How Long Has Your Company Been in Business?

What Industry Are You In?

Ideal Loan Amount

Minimum Amount Accepted

How many inquiries are on your credit report in the past 6 months?

# of Inquiries: 0

Do you have any bad marks on your personal credit?

• Yes
• No

e.g. collections, bankruptcy, child support, alimony, etc.

Explain the details

What is your credit usage %?

%: 0

Do you have any additional income?

• Yes
• No

e.g. Disability, pension, VA pension, VA disability, SSI income, additional W2 income, rental income, or any other income.

Explain additional income.

Submit