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BUSINESS DETAILS
Finance Point Of Contact For Business?
*
Industry:
*
Brief Synopsis Of Type Of Business:
*
Amount of Funding Requested?
*
Date Business Was Officially Established:
*
How Will The Funding Be Used?
*
Working Capital
Startup Costs
Supplies
Construction/Expansion
Acquisition of Existing Business
Franchise Fees
Payroll
Marketing
Purchase Equipment
Prep For Seasonal Growth/Slow Down
Business Structure
*
Sole Proprietorship
Corporation
S Corporation
Corporation
Partnership
LLC P
LLC C
LLC S
Trust/Estate
Other
Business Name:
*
EIN/TAX ID Number
*
Business Phone Number:
*
Business Email Address
*
Business Address:
*
City
*
State/Province
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
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Indiana
Iowa
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Rhode Island
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Zip/Postal
*
How Long Has Your Business Been In Operation?
*
1 to 6 months
6 months to 2 years
Greater than 2 years
How Many W-2 Employees Do You Currently Have?
*
Who Owns More Than 20% of The Business?
If you are human, leave this field blank.
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