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Funding Applications Form
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– Forms
Funding Applications Form
Personal Information
First Name
Last Name
Email
Phone/Mobile
Birthdate
Address Line 1
Address Line 2
City
State
Zip Code
Social Security Number (Last 4 digits)
Are You a U.S. Citizen or Legal Resident?
Yes
No
Employment & Financial Info
Employment Status
Employment Status
Employed
Self-employed
Unemployed
Student
Retired
Employer Name or Business Name
Years in Current Position
Monthly Gross Income
Do You Have a Registered Business?
Yes
No
Business Name
Business Structure
Business Structure
Sole Proprietor
LLC
Corporation
S-Corp
Business Start Date
EIN (if applicable)
Credit Information
Estimated Credit Score
Estimated Credit Score
750+
700-749
650-699
600-649
Below 600
Not Sure
Any Late Payments in Last 12 Months?
Yes
No
Do You Have Any Bankruptcies, Judgments, or Collections?
Yes
No
Number of Credit Cards You Currently Have
Average Age of Credit History
Average Age of Credit History
Less than 1 yr
1-2 yrs
3-5 yrs
5+ yrs
Total Available Credit
Current Credit Utilization (%)
0
Credit Report Upload
Credit Monitoring Platform Used
Credit Monitoring Platform Used
Credit Karma
Experian
MyFICO
Other
Upload a Recent Credit Report (PDF or Screenshot)
Choose File
Funding Goals
Total Amount You Are Trying to Access
What Will You Use the Funding For?
What Will You Use the Funding For?
Business
Investments
Real Estate
Debt Payoff
Emergency
Other
Describe Your Plan Briefly
Are You Applying Alone or With a Partner?
Are You Applying Alone or With a Partner?
Alone
With a Partner (Co-Applicant)
Co-Applicant First Name
Co-Applicant Last Name
Co-Applicant Email
Co-Applicant Credit Score
Co-Applicant Credit Score
750+
700-749
650-699
600-649
Below 600
Not Sure
Program Readiness
How Soon Are You Ready to Move Forward?
How Soon Are You Ready to Move Forward?
ASAP
Within 1 Week
Just Exploring
Do You Understand This Strategy Involves Opening Multiple Credit Accounts?
Yes
No
Are You Open to Using a Personal Guarantor?
Are You Open to Using a Personal Guarantor?
Yes
No
Need More Info
Do You Have Any Specific Banks You Want to Avoid?
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