Section 1: Business Information

Please provide your business details so we can assess the most suitable funding options.

(NOTE: Please fill out all required details to ensure a fast review process and avoid follow-ups for missing information or documents.)

Business Name *

DBA (if any)

Business Structure *

Corporation
LLC
Sole Proprietor
Partnership
Others
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Federal Tax ID (EIN) *

Business Address *

Street Address/City/State/Postal Code

Business Phone *

Business Email *

Date Business Started *

Industry Type *

Automotive Repair & Services
Construction & Contracting
Education, Training & Coaching
Events & Entertainment
Fitness & Wellness
Hair, Beauty & Personal Care
Home Services & Landscaping
Hospitality
IT, Tech & Digital Services
Logistics & Courier Services
Manufacturing & Fabrication
Marketing & Creative Services
Online Store / E-commerce
Professional Services
Real Estate & Property Services
Restaurant, Café & Takeout
Retail
Transportation & Delivery
Trades
Wholesale & Distribution
Others
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Monthly Gross Revenue *

Requiring a minimum between $15,000 – $50,000.

Loan Amount Requested *

Use of Funds *

Section 2: Owner/Principal Information

All personal information is kept strictly confidential and used solely for verification purposes.

(NOTE: Please fill out ALL required details to ensure a fast review process and avoid follow-ups for missing information or documents.)

First Name *

Last Name *

Title *

Date of birth *

Ownership %

Personal Email Address *

Driver's License (Front ID) *

Driver's License (Back ID) *

Home Address *

Street Address/City/State/Postal Code

Personal Phone *

Citizenship Status *

U.S. Citizen
Permanent Resident
Other
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Section 3: Financial Details

Only authorized team members can access your documents. Upload only the files required for your loan type.

(NOTE: Please fill out all required details to ensure a fast review process and avoid follow-ups for missing information or documents.)

Loan Type *

Working Capital < 200k

Working Capital > 200k

A/R Financing / Factor

SBA Loan

Most Recent Business Tax Return *

Previous Year Financial Statements - P&L + Balance Sheet

Upload for A/R Financing / Factor Loan Type ONLY

A / R Aging Report

Upload for A/R Financing / Factor Loan Type ONLY

A / P Aging Report

Upload for A/R Financing / Factor Loan Type ONLY

Purchase Orders/Contracts/MSA

Upload for SBA Loan Type ONLY

Personal Tax Returns - Last 3 Years

Upload for SBA Loan Type ONLY

Personal Financial Statement

Upload for SBA Loan Type ONLY

Section 4: Declaration

These questions help us complete a proper review while keeping your data safe.

Has the business or any owner ever filed for bankruptcy? *

Yes

Is the business or any owner currently involved in any lawsuits or legal proceedings? *

Yes

Does the business owe any past due taxes? *

Yes

If yes to any, please provide an explanation:

Section 5: Authorization & Signature

Your signature confirms the information is accurate and will be kept strictly confidential.

By signing below, I/we authorize The Loan Master USA and its affiliates or assigns to obtain credit reports, verify all information provided, and use such information to evaluate this application for credit purposes. I/we attest that all information submitted is accurate, complete, and true to the best of my/our knowledge.

Authorized Representative Signature: *

Clear

Printed Name: *

Date *

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Section 1: Business Information

Section 2: Owner/Principal Information

Section 3: Financial Details

Section 4: Declaration

Section 5: Authorization & Signature

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