Business Funding Intake Form

Credit & Financial Details

  • Under $25,000
  • $25,000–$50,000
  • $50,000–$100,000
  • $100,000+
  • No elements found. Consider changing the search query.
  • List is empty.
  • Immediately
  • 30–60 days
  • 60–90 days
  • Just exploring options
  • No elements found. Consider changing the search query.
  • List is empty.
e.g., startup costs, expansion, debt consolidation, equipment, real estate, emergency, etc.)
  • Below 550
  • 550–619
  • 620–679
  • 680–719
  • 720+
  • No elements found. Consider changing the search query.
  • List is empty.
  • Late payments
  • Collections
  • Charge-offs
  • Bankruptcies
  • None of the above
  • No elements found. Consider changing the search query.
  • List is empty.

Let's Talk About Your Business

  • Yes
  • No
  • In progress
  • No elements found. Consider changing the search query.
  • List is empty.
  • Not launched yet
  • 0–6 months
  • 6–12 months
  • 1+ year
  • No elements found. Consider changing the search query.
  • List is empty.
  • $0
  • Under $10,000
  • $10,000–$25,000
  • $25,000+
  • No elements found. Consider changing the search query.
  • List is empty.
  • Yes
  • No
  • Not sure
  • No elements found. Consider changing the search query.
  • List is empty.
  • Yes – approved
  • Yes – denied
  • No
  • No elements found. Consider changing the search query.
  • List is empty.
  • Yes
  • No
  • Need more info
  • No elements found. Consider changing the search query.
  • List is empty.
  • Yes
  • No
  • Just gathering information
  • No elements found. Consider changing the search query.
  • List is empty.