Business Working Capital Intake

SBA LOAN INTAKE FORM

Purchase Business/Real Estate | Working Capital | Start-Up | Franchise

Are you the borrower or referral partner? *

Borrower First Name *

Borrower Last Name *

Borrower Email *

Borrower Phone *

Referral Partner First Name *

Referral Partner Last Name *

Referral Partner Email Address *

SBA Transaction Type: *

SBA Purchase Type: *

Borrower Mid FICO Score Range *

Is there a Purchase Contract or LOI accepted? *

Purchase contract/LOI expiration date? *

Amount of down payment available? *

Real Estate Purchase Price *

Business Purchase Price *

Business Industry Type *

Business Start Date *

Loan Amount Requested *

Describe Use of Working Capital *

Original Purchase Date *

Original Purchase Price *

Loan/Mortgage Balance(s) Owed *

Property Type: *

Property Street Address *

Property City *

Property State *

NOTES: Please tell us about your scenario: *

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.