Business Funding Loan Application
Name
Who is Applying?
Borrower
Referral Partner
Email
Phone
Do any of the following apply?
Back Income Taxes
Back Payroll Taxes
Unpaid Tax Liens
Open Judgments
None of the Above
Loan Amount
Credit Score
800 +
700 - 799
650 - 699
600 - 649
550 - 559
500 - 549
< 500
Closing Time Frame
Just Shopping Quotes
4 - 6 weeks
2 - 4 weeks
< 2 weeks
1 - 2 days
Do you own a business, or are you buying or starting a business?
Yes
No
How much of the business do you own?
Are you applying for a CARES ACT SBA 7(a) relief loan?
Yes
No
What is the name of your business?
Tell Us About Your Business
Business Start Date
Do you have a business website?
Loan Purpose
Make Payroll or an Immediate Capital Need
Working Capital (for inventory, advertising, expansion, etc.)
Partner Buyout
Purchase Equipment or Machinery
Purchase a Business
Leasehold Improvements
Accounts Receivable and/or Invoice Financing
Business Line of Credit
Finance Business Real Estate
Consolidate Debt and/or Merchant Cash Advances
How can you verify your business income?
With Tax Returns
With Business Bank Statements
I Can't, I Need a Stated Income Loan
Last Year Gross Business Income
Last Year Net-Income (EBITDA)
Did you take any of the below deductions on your business tax return last year?
None
Depreciation
Amortization
Rent Expense
Mortgage Interest
Are you a US citizen or green card holder?
Citizen
Green Card Holder
No
Do you own your home?
Yes
No
Are you willing to have a UCC on your home?
Yes
No
Home Address
Optional Documents
Recommended Documents for Business Loans (signed and dated if possible).
Last 2 Years Personal and Business Tax Returns
Year-to-Date Business Profit & Loss Statement
Year-to-Date Business Balance Sheet
Current Business Debt Schedule
Last 3 Months Business Bank Statements
Clear Copy of Your Drivers License
Entity Documents (i.e. operating agreement, bylaws, etc.)
Is there anything else we should know?
By submitting this application, you agree to our terms.
Yes
No
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