First Name
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Last Name
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Phone
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BUSINESS PROFILE
Do you currently have a registered business or LLC?
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How long has your LLC been active?
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What is your business revenue?
*
How are you paid?
*
CREDIT OVERVIEW
Credit Score
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Do you have any of the following? (check all that apply)
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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?
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Yes
No but I want help
No and I’m not interested
FUNDING GOALS
What type of funding are you looking for?
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What is the main purpose for funding?
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How much capital do you need right now?
*