BUSINESS FUNDING CLIENT INTAKE FORM
Thank you for your interest in funding with our company. Please use accurate information only when filling out this form. Please do not fill out this form if you are NOT located in the USA.
Personal Credit Scores
  • Below 620
  • Between 620 - 699
  • Above 700
  • No elements found. Consider changing the search query.
  • List is empty.
Monthly Gross Revenue
  • Less Than $5,000 / Mo
  • $5,000 - $10,000 / Mo
  • $10,000 - $20,000 / Mo
  • Above $20,000
  • No elements found. Consider changing the search query.
  • List is empty.
Collateral Owned By Business
  • Accounts Recievables
  • Investment Real Estate (Income Producing)
  • Business Owner Has 401K
  • No Collateral
  • No elements found. Consider changing the search query.
  • List is empty.
Do You Need Credit Repair?
  • Yes
  • No
  • No elements found. Consider changing the search query.
  • List is empty.
Do You Want To Build Business Credit?
  • Yes
  • No
  • Not Sure
  • No elements found. Consider changing the search query.
  • List is empty.
How Long Has Your Business Been Registered With The Secretary Of State??
  • Less Than 2 Years
  • More Than 2 Years
  • No elements found. Consider changing the search query.
  • List is empty.