Business Loan application

* Indicates required field

Business Owners Name *

First

Last

Business / Legal Name *

State of Incorporation *

Date of Birth (mm/day/year) *

Primary Borrower Soc Sec # *

Business Checking Account? *

EIN (Type none if there is none) *

Email *

Business Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Mobile Phone *

Home Phone *

Business Phone *

Year your Business Started *

The Month Your Business Started *

Own or rent *

Business Structure *

Monthly Rent Amount *

Category *

Current with your Rent? *

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

Landlord Name (in none, type none) *

Landlords Company Name *

Landlord Phone Number *

Name of First Trade Reference *

Name of 2nd Trade Reference *

Name of 3rd Trade Reference *

Company of First Trade reference *

Company of 2nd Trade Reference *

Company of 3rd Trade Reference *

Phone Number *

Any Current Business Loans? *

If Yes to any Current Business loans (Details) *

Desired Loan Amount *

Any Tax Liens *

Any Judgments *

If Yes to Tax Liens/Judgments (explain) *

Avg. Monthly Bank Deposits (last 4 months) *

Annual Income Last Year for Business *

Do you accept credit cards? *

If Yes on Credit Cards - Average Monthly Amount *

Estimated FICO Score (credit) *

Comments or Questions (optional) *

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

Interested In (choose all that apply) *

Submit

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

Last 6 Months Business Checking Account Statements
Most Current P & L Statement
Most Current Balance Sheet
Most Current Debt Schedule
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