Loan Assessment Form

Our Quick Easy Application

- Step 1 of 8

Loan Applicants Name: *

First

Last

Best Phone Number to Call: *

Email: *

Perfect time for us to call you? *

Call Time and Date? *

Date

Time

Apply for? *

Amount you need to borrow? *

Are you a citizen, resident or valid visa holder currently residing in the United States of America? *

Are you a Business Owner? *

Is your business currently operating? *

What Industry is your business in? *

How long have you been in business? *

Are you currently accepting credit cards? *

If you accept credit cards, how much do you process monthly? *

Does your company have a Business Checking Account? *

Do you have your most recent 6 months bank statements? *

Do you have any collateral? *

Property Type

Property Location? *

Address Line 1

Address Line 2

City

State

Zip Code

What is your average monthly cash sales based on the latest 3 months *

What would you say your FICO score would be? *

Enquiry Form