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Financing Intake Form
After you fill out this intake request, a member of our team will connect with you as soon as possible within 24 hours.
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* Indicates required question
How did you find out about us?
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Your answer
Full Legal Name
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Your answer
E-mail
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Your answer
Phone Number
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Your answer
City, State & Country
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Your answer
What is the name of your business entity?
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Your answer
What is your FICO 8 score? There are 3 credit bureaus. We will need both Experian and Equifax. If you don't know don't worry.
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Your answer
Do you have any recent derogatory items or lates on your credit profile?
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Your answer
What is the purpose of the funding for?
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Your answer
Please check which applies to you.
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Business Owner
Independent Contractor
W2 Employee
Other:
What's your website if you have one?
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Your answer
What industry are you in?
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Your answer
What are your social media handles?
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Your answer
What is your annual revenue or income bracket/range?
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Less than $50,000
$50,000 to $100,000
$100,001 to $250,000
$250,001 to $500,000
$500,001 to $1 million
$1 million and above
Other:
What is your preferred method of communication?
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Your answer
How soon do you need this funding?
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Your answer
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