Working Capital Intake Forms
Please provide brief information for further assistance.
First Name
Last Name
Email
Phone Number
Company Name
Company Website
How long ago does your company establish?
Is the borrower a US citizen or legal resident?
US citizen
Greencard
Non-citizen, Non-Greencard
Can you and your company provide most recent 2 year tax return?
Yes
No
On average what is your company top line revenue of the last 2 years
On average what is your company net income of the last 2 years
Does your company has outstanding debt? The amount of total debt?
Does the company have any outstanding debt? Is the debt SBA? Private Loan? Bank Debt?
No Outstanding debt
SBA
Private Debt (MCA)
Bank Loan
Commercial Real Estate Loan
How many employee does the company have?
What is the amount of working capital loan requires?
10,000 to 50,000
50,000 to 100,000
100,000 to 150,000
More than 150,000
The purpose of the loan
Working Capital
Equipment purchases
Vehicle purchases
Debt Refinance majority of refinance requests will be MCA or high interest term debt
Commercial Real Estate purchases or refinances
Business Expansion (acquisition of a book of business, assignment of lease, etc)
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