Funding

Referred by: *

Type of Funding *

Personal Funding
Business Funding
Both (personal and Business)
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Social Security Number *

First Name *

Last Name *

Phone *

Email *

Date of birth *

Mother's maiden name *

Address *

City *

State *

Postal code *

Residence History

How long have you lived at your current address?

More than 6 months

Less than 6 months

In what year did you move into your current address?

In what month did you move into your current address? *

Your previous street address *

Your previous city *

Your previous state *

Your previous postal code *

In what year did you move into your previous address?

In what month did you move into your previous address? *

Type of Residence *

Single Family
Multi-family
Condo
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Do you rent or own your current home? *

Own
Rent
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How much is your current monthly rent/mortgage? *

Employment History

Type of Employment *

Employed
Self Employed
Both (Employed & Self-Employed)
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Current Employer *

Job Title *

Salary amount *

Salary Option *

Weekly
Bi-weekly
Monthly
Annually
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How long have you been employed at your current job? *

Please specify by years and months.

How long have you been self-employed? *

Please specify by years and months.

Business name *

Business street address *

Business city *

Business state *

Business postal code *

What industry is your business in? *

Example: Transportation, Retail, Consulting, Food Services, etc.

How many employees if any does your business currently have? *

Enter a number (including yourself, if applicable).

How long have you been at your current business address?

More than 6 months

Less than 6 months

In what year did your business move into its current address? *

In what month did your business move into its current address? *

Your previous business address *

Your previous business city *

Your previous business state *

Your previous business postal code *

In what year did your business move into its previous address? *

In what month did your business move into its previous address? *

EIN Number *

Gross Revenue (average) *

Enter your average business revenue before expenses. $150,000 per year

Documents

Social Security Card *

Clear color copy of your social security card showing all four corners. W2 is also acceptable

Current Billing Statement *

Tax Return (for self-employed)

Upload last 2years taxes (You can upload multiple items before submitting)

Driver's license *

Clear color copy of your license showing all four corners

EIN Letter *

Articles of Incorporation *

Business taxes *

Upload last 2years taxes (You can upload multiple items before submitting)

Paystub

Upload last 2 paystubs (You can upload multiple items before submitting)

Credit Monitoring Service

MyFico username *

MyFico password *

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