Business Line of Credit Application

Business Information:

Name of Business *

DBA Name *

Please input N/A if you do not have a DBA Name.

EIN *

Business Type *

Business Type

LLC
S-Corp
C-Corp
Sole Prop
Trust
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Business Street Address *

Please input just the street address.

Business: City, State, Zip *

Please input just the city, state and zip code.

Business Phone Number *

Website *

Date Established *

Type of Product or Service Sold *

Franchise Business *

Franchise Business

Yes
No
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Number of Franchise Units *

Please put N/A if you do not have a franchise business.

Seasonal Business *

Seasonal Business

Yes
No
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Peak Sales Month *

Average Monthly Sales *

Average Monthly Card Sales *

Commercial Property Payment Amount *

Commercial Property Term *

Desired Loan Amount *

Reason for Loan *

Current Business Debt Liabilities *

Please provide any debt owed and describe what type of debt with the amount owed.

3 Months Business Bank Statements

3 Months Business Bank Statements

Please upload the most previous 3 months business bank statements.

Owner #1

Full Legal Name *

Date of Birth *

Personal Street Address *

Please input just the street address.

City, State, Zip *

Please input just the city, state and zip code.

Phone *

Email *

Title at Company *

Ownership % *

SSN *

Drivers License Number *

Owner #2 (If Applicable)

Full Legal Name

Date of Birth

Personal Street Address

Please input just the street address.

City, State, Zip

Please input just the city, state and zip code.

Phone

Email

Title at Company

Ownership %

SSN

Drivers License Number

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