Loan Intake Application

We Finance America

Security Alert - The information provided by the applicant for credit on this secure online form will not be stored on our server nor shared in any way with any third party!

* Indicates required field

Business Owners Name *

First

Last

Owners Mobile Number *

Fax Number (if any) *

Business / Legal Name *

Best Email *

Business Structure *

Number of Owners in Business: *

Bank Name for Business Account(s): *

Has this bank been open for 90 days or more *

Average Monthly Business Checking Balance *

Do You Have any other open contracts for working Capital *

If YES, What is the name of the lender(s) *

How long have you owned the business *

Year Business Started *

State of Incorporation *

Date of Incorporation *

How many W-2 Employees *

Is Your Business Seasonal? *

How Much do you need? *

How soon do you need the money *

Gross Annual Sales (recent) *

Annual Credit Card Sales *

Business Address *

Line 1

Line 2

City

State

Zip Code

Country

Company EIN *

Any Prior Bankruptcies? *

If yes, when was it discharged? *

Estimated Borrower FICO Score (credit) *

Business Web Address *

Rent your Business Space *

How much is your Monthly Rent/Mortgage Payment *

Landlords Name or Company *

Landlords Phone Number *

Any Tax Liens *

If yes, are you on a payment plan *

Industry Type *

Owner - Information

Personal Residence *

Owners Name *

First

Last

Owners Home Address *

Line 1

Line 2

City

State

Zip Code

Country

referred by *

Ownership Percentage (%) *

Title *

Phone Number *

Drivers License Number *

Social Security Number *

Date of Birth *

You will be sent your application to e-sign, upon completing the above online request:

You Will receive a second email to send us:
Your most current three months business checking account bank statements
Your Photo ID - Drivers License
A voided company check
YOU will Have a Quote with REAL numbers within 24 hours (in most cases)
Money in your Account as fast as the same day of approval

** We Finance America Inc. utilizes time tested and trusted encryption algorithms on our email server.
We use only the securest implementations of AES, RSA, along with Open PGP protocols. By using open-source libraries, our email services provider can guarantee that the encryption algorithms we are using do not have clandestinely built in back doors. Their open-source software has been thoroughly vetted by security experts from around the world to ensure the highest levels of protection.

Submit

You Can Get a FREE Copy of All Three Credit Scores without effecting Your FICO Score - www.creditchecktotal.com/

[email protected]

424-245-0588

This is not an offer to lend or extend credit. Credit approval is subject to credit standards, and actual terms (including actual loan amount) may vary by applicant. We Finance America Inc. requires certain supporting documentation with each new application and offers no guarantee of funding or loan offers and the terms thereof. All Loan decisions are made by our lending partners and subject to their specific underwriting criteria and approval processes.

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