ALTERNATIVE LENDING
Total funding amount needed ($)
*
$
First Name
*
Last Name
*
Email
*
Phone
*
How soon do you need the funding?
Immediately (0–14 days)
15–30 days
30-60 days
60+ days
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What is your personal credit score?
Below 650
650 to 679
680-699
Over 700
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Referral's Name or Source
Are you applying as:
Business Owner
Contractor / Deal Holder
Investor
Others
Average Monthly Business Revenue
*
$
Business Name
*
Business Website
Industry or Type of Business
Business Structure
LLC
Partnership
Corporation
Sole Proprietor
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Do you have any of the following? (check all that apply)
*
Real estate
Signed contracts
Invoices / Receivables
Equipment or assets
Personal or business guarantees
4mo Business Bank Statements
None
Primary Use of Funds:
Working Capital
Inventory
Equipment
Expansion / Scaling
Debt Consolidation
Other
Briefly describe your deal, offer, or use of funds
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