SBA Loan Submission - SBALoanNetwork.org

LOAN INTAKE FORM

Acquisitions from $250,000-$5,000,000

Working Capital $25,000-$5,000,000 (2+yrs in business)

Start-Up/Franchise $250,000-$5,000,000

Personal/Unsecured up to $250,000

Are you the borrower or referral partner? *

Borrower First Name *

Borrower Last Name *

Borrower Email *

Borrower Phone *

Partner First Name *

Partner Last Name *

Partner Phone *

Partner Email *

SBA Transaction Type *

Business or Franchise Name *

Estimated Credit Score *

Is there a Purchase Contract or LOI Accepted? *

Amount of Down Payment Available *

Real Estate Purchase Price *

Business Purchase Price *

Industry (single Option) *

What year did this business start? *

Loan Amount Requested *

Describe Use of Working Capital (Select All That Apply) *

Original Purchase Date *

Property Type *

Property Street Address *

Property City *

Property State *

Important Notes: