First Name *

Last Name *

Phone

Email *

Business Name

Business Phone

___________________________________________________________________________________________________________________

What is your personal credit score? (680+ to Qualify) *

How many personal credit cards do you have? *

What are the limits of your two highest cards?

Card #1
Card #2

___________________________________________________________________________________________________________________

How much do you gross a month? (Qualify $10k+ a month)

What type of industry are you in?

How much money are you looking for?

What is the purpose of capital?

How much will this opportunity generate in revenue?

How quickly are you looking to move forward with this?

___________________________________________________________________________________________________________________

If they have MCA: Are you struggling to make the DAILY or WEEKLY PAYMENTS?

MCA COMPANY
BALANCE
PAYMENT

MCA COMPANY
BALANCE
PAYMENT

MCA COMPANY
BALANCE
PAYMENT

MCA COMPANY
BALANCE
PAYMENT

__________________________________________________________________________________________________________________

Do you own any real estate?

Yes

(If Yes) Property address

Is it your

Primary Residence

Investment Property

Estimate Property Value

Mortgage Balance

__________________________________________________________________________________________________________________

***Only ask if the client did not meet any of the requirements above***

Do you have a co-signor with a 680+ credit score?

Yes

We are able to add them as a majority representave of the company and get your company approved for funding. It can be a silent business partner, family member or spouse.

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