Loan Questionnaire Form Tell us about your business and financing need. . Take all the space you need to answer the questions. . Your Contact Info First Name* Last Name* Phone Number* Email Address* Your Company Website What Is Your Financing Need What are we trying to accomplish together?* How much money do you need?* When do you need it?* What is it for? (That is, what will you do with the money?)* How much will you make with the money?* How many funding institutions did you go to for a loan that turned you down? Why? About You What is your FICO score? Please provide your FICO number and tell us the source/date of the score.* Have you or your company ever filed for bankruptcy? If yes, when? Do you have any open judgements or tax liens against you or pending lawsuits? If Yes, please explain. About Your Business What does your company do?* How long has your company been in business?* How did you get into the business? Who do you sell to?* What are your margins?* What are your monthly sales over the past 4 months? (provide $/month for each of the last 4 months)* How much do you have in outstanding invoices currently? Is your company profitable?* Do you have a backlog of orders? Do you have any outstanding loans with a bank or another lender? Are there any liens against you or your company/asset? Security Check: Please enter the characters you see below* Δ
