Accounts Receivables Loan Application

Accounts Receivables Financing Application

* Indicates required field

Business Owners Name *

First

Last

Business / Legal Name *

State of Incorporation *

Company FEIN *

Email *

Business Phone *

Mobile Phone *

The Month Your Business Started *

Business Checking Account? *

Year your Business Started *

Business Structure *

Business Address *

Line 1

Line 2

City

State

Zip Code

Country

Category *

Any Prior Bankruptcies? (if yes, date of discharge) *

Any Current Business Loans? *

If Yes to any Current Business loans (Details) *

Any Current Factoring Loans? *

If Yes to Current AR - Please summarize *

Any Tax Liens *

Any Judgments *

If Yes to Tax Liens/Judgments (explain) *

Accounts Receivables Outstanding *

Do you accept credit cards? *

Avg. Monthly Bank Deposits (last 3 months) *

Annual Income Last Year for Business *

If Yes on Credit Cards - Average Monthly Amount *

Estimated FICO Score (600 Minimum) *

Interested In (choose all that apply) *

Accounts Receivable Financing Business Loan Asset Backed Revolving Line of Credit

Referred By (how did you hear about us?) *

Submit

Please Note - Many of the Forms needed can be found right here on our website - under the resources tab, click on forms

Be prepared to provide some or all of the following upon request depending on lender and type of loan:

Last 3 Months Business Checking Account Statements
Most Current P & L Statement (see forms)
Most Current Balance Sheet
Most Current Debt Schedule (see forms)
Copy of your Legal Photo ID (drivers License, passport etc.)
Copy of Business Licenses or Professional Licenses
Articles of Incorporation ("C" and "S" corps)
Articles of Organization (LLC's)
Last Three Years of Personal and Business Tax Returns (all pages)
Office or Retail Lease Agreements
Tax Liens (copies of any repayment agreements)
Proof of any collateral you may be able to use as security
Personal Financial Statement (see forms)