Working Capital Pre-Qualification Form

Completing this form will allow us to pre-qualify your company’s ability to get the funds you are looking for.

By filling out this survey, you agree that we can contact you at the phone number(s) listed, and the email address provided.

We will then discuss if you pre-qualify, and for what type of loan (unsecured or secured), offer you working capital options, answer questions, and hopefully offer your business a funding solution that you are comfortable with.

Fields marked with an * are required to answer.
Please elaborate when able, the more we know about
your business funding needs, the more effectively we can 
better serve your business with our funding options. 

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* 1. Business Name, Owners Name, Phone Number, Email Address

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* 2. How much working capital do you need? and
When do you need it by?

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* 3. What is the Month/Year you started your business?

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* 4. What will you use the funds for?

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* 5. How much (on average) do you deposit into your Business Bank Account monthly?

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* 6. How many (on average) bank deposits do you make per month?

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* 7. Does your business have a Merchant Account to accept credit cards? Please note: Pay Pal, Square or Stripe accounts do not qualify as Merchant Accounts.

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* 8. What is more important to you with a loan, percentage or terms? Please elaborate, the more we know about your needs, the better we can serve you.

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* 9. Do you currently have a daily payment or Merchant Cash Advance loan now?

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* 10. What is your credit score?

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