UBF Application

Personal Information

First Name *

Last Name *

Address

Address *

City *

State *

Country

Postal code *

E-mail *

Phone *

Date of Birth *

SSN (Social Security Number) *

Annual Gross Income

$

Percentage of Ownership: *

Current Experian Score *

Current Equifax Score *

Current TransUnion Score *

Mother's Maiden Name *

Do you have a current copy of your credit report? *

Yes

No

Additional Officer/Member/Partner

Is there are member(s) or officer(s) who own and control 25% or more of the company? *

Yes

No

Skip the next section if there are no additional members that control 25% or more.

Member / Officer Information

Member First Name

Member Last Name

Member Address

Member State

Member Zip Code

Member E-mail

Member Phone Number

Member Date of Birth

Member SSN (Social Security Number)

Member Annual Gross Income

$

Member Percentage of Ownership

Member Experian Score

Member Equifax Score

Member TransUnion Score

Business Information

Business Name *

Business Address *

Business Phone *

Date Business Was Established *

Entity Type *

Nature of Business / Industry *

EIN (Employer Identification Number) *

Annual Gross Revenue *

$

Number of Full-Time Employees *

Number of Part-Time Employees *

Amount you would like to borrow? *

How do you plan to use the funds? *

Does the business have any existing loans? *

Yes

No

If yes, what is the balance of the existing loan?

$

Are you looking to purchase equipment for your business? *

Yes

No

Does the business owner have 401-K or Securities? *

Yes

No

Do you have outstanding invoices with other businesses? *

Yes

No

If required, can you connect your business bank account electronically? *

Yes

No

Documentation

Front of Drivers License or State ID *

Upload your file here

Back of Driver's License or State ID *