Preliminary Loan Inquiry Note: All fields are required Applicant InformationBusiness (Borrower)(Required)Address(Required) Street Address City State / Province / Region ZIP / Postal Code Telephone Number(Required)Email Address(Required) Business Structure(Required)Date Established(Required)State of Registration(Required)Business Info(Required)PrincipalsTitleOwnership %Credit Score Add RemoveClick the "+" icon to add information for multiple principalsBusiness Financial Information1st Row(Required)Current YearRevenue $Expenses $EBITDA $# Months2nd Row(Required)YearRevenue $Expenses $EBITDA $Add More?(Required)YearRevenue $Expenses $EBITDA $Loan InformationFunds Requested Amount(Required)Loan Category(Required) Purchase Refinance Consolidation Construction Line of Credit Rehab/Improvements Business Expansion Other Borrowers Available Cash Equity(Required)Use of Funds / Project Summary:(Required)Collateral(Required)Current USD Value $ (As Is)(Required)USD Value Upon Completion(Required)Existing Liens/Loans (Amount/Position/Status):(Required) Add RemoveCredit Issues / Property Issues / Additional Information(Required) Add RemovePrepared By(Required) Prepared by - Name Title(Required)Date(Required) MM slash DD slash YYYY Δ
