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What Will This Express Loan Be Used For? (Please Check All That Apply) Debt Consolidation Loan Immediate Cash For Payroll Business Acquisition or Purchase Business Expansion Real Estate Purchase or Commercial Mortgage Equipment Purchase Equipment Lease Startup Funding (Must Have Collateral) Property/Facilities Remodeling or Enhancement Other (Please State Below) Amount of Funding Requested: $15,000 - $24,999 $25,000 - $49,999 $50,000 - $99,999 $100,000 - $249,999 $250,000 - $499,999 $500,000 - $999,999 $1,000,000 - $1,999,999 $2,000,000+ What Is the Current Status of Your Business Operation? About to Start Currently Running Would Like to Acquire How Long Has Your Business Been Operating? 0-6 Months 6 Months - 2 Years 2 Years - 4 Years 4 Years - 5 Years 5 or More Years What Is the Current Status of Your Business Operation? No, My Credit Is Clean Yes, There May Be Issues What Was Your Total Business Revenue Over the Past 12 Months? $0 (collateral required) $50,000 - $99,999 $100,000 - $299,999 $300,000 - $499,999 $500,000 - $999,999 $1,000,000 - $4,999,999 $5,000,000+ What Is the Total Value of Assets You Have to Secure This Business Loan? $10,000 - $49,999 $50,000 - $99,999 $100,000 - $299,999 $300,000 - $499,999 $500,000 - $999,999 $1,000,000 - $4,999,999 $5,000,000+ Do You Own a Home or Other Personal Property That Could Be Used as Collateral? Yes Unsure: Please Advise Me of Options No Does Your Business Accept Visa/Mastercard (include any business owned by you)? Yes No Please briefly describe the business and any further details regarding your financing needs. How Did You Hear About Us?
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