NO-OBLIGATION LOAN/LEASE APLLICATION

Your Business Finance Consultant will use this information to identify potential lenders.  The information you provide will be subject to verification prior to loan funding.  All information provided by you will be kept strictly confidential and be delivered in a secure method to a lender.


 Principal's Name:
Title:   
Company name:  
Address:
City:
State:
Zip:
Phone:
Cell phone:  
Fax:
E-Mail:  
Start up         Existing Business          Years In Business
Sole Proprietorship                         Partnership                   Corporation
Industry:  
Amount of Financing Requested:  
Purpose of Financing: Franchise Purpose                      
Start-up Financing          
Equipment Financing         
Working Capital              
Receivables Financing   
Factoring                        
Other (Please Specify): 
Briefly Describe the purpose of Financing:  
Personal Guarantees Available: Yes   No
Credit History of Owner: Excellent       Satisfactory      Poor
Credit History of Company: Excellent       Satisfactory      Poor
If a Business Purchase: Purchase Price?
  Cash Invested by Buyer                 
  Total Business Assets
Total Liabilities
Total Business Net Worth
Company's Annual Revenue
Company's Annual Profit
Comments:


  


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