First Name
*
Last Name
*
Phone
*
BUSINESS PROFILE
Do you currently have a registered business or LLC?
*
Yes
No, but I plan to start one soon
No
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How long has your LLC been active?
*
Less than 6 months
6 to 11 months
12 months to 23 months
24 months or more
I don’t have a business yet
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What is your business revenue?
*
0 to 4,999
5,000 to 9,999
10,000 to 24,999
25,000 + monthly
I’m pre-revenue
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How are you paid?
*
Business checking
Personal checking
Cash app or cash
Multiple sources
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CREDIT OVERVIEW
Credit Score
*
Under 580
580 to 619
620 to 659
660 to 679
680 to 719
720 to 759
760 and up
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Do you have any of the following? (check all that apply)
*
High utilization on credit cards
Late payments
Chargeoffs or collections
Public records
Bankruptcy
None of the above
Are you currently working with a credit specialist?
*
Yes
No but I want help
No and I’m not interested
FUNDING GOALS
What type of funding are you looking for?
*
Traditional funding (PG)
Alternative funding (Revenue Based)
Not sure, need a strategy call
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What is the main purpose for funding?
*
Start a business
Grow a business
Pay off debt
Credit building
Other
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How much capital do you need right now?
*
10k to 25k
25k to 50k
50k to 100k
100k+
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