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Business Loan Application
Loan Amount ($USD)
Term (number of years)
Less then 1 year
1 yr
2 yrs
3 yrs
4 yrs
5 yrs
6 yrs
7 yrs
8 yrs
9 yrs
10 yrs
First Name
Last Name
Business Name
Business Legal Entity Type
Partnership
C-Corp
S-Corp
Limited Liability Company
Sole Proprietorship
Other
Email
Mobile #
Work #
Home #
How many full years have you been in business?
Are your annual sales/revenue greater than $150,000?
Yes
No
Has the business been profitable in at least 1 of the past 2 years?
Yes
No
Have you, or your business, ever filed for bankruptcy?
Yes
No
Was that bankruptcy in the last 7 years?
Yes
No
Primary Physical Business Address
Mailing Address (if different than above)
State of Incorporation
How many employees (other than yourself) does your business have?
How many locations does your business have?
This loan application requires a Personal Guaranty. Besides yourself, are there additional guarantors that can be provided for this loan?
None
1 Guarantor
2 Guarantors
3 Guarantors
Does the business have any current outstanding debt?
Yes
No
What is the value of the current outstanding debt on the business?
What is the monthly payment on the debt?
What industry does your business fall into
What will the funding be used for?
Are there other owners? Ownership Structure: Include all owners with 5% or more equity
Business Tax Returns:
Personal Tax Returns:
Business Bank Statements:
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