BUSINESS INFORMATION
Legal Name:
DBA:
Business Phone:
Length of Ownership:
Years at Location:
# of Locations:
OWNERSHIP
Name:
% of Ownership:
Cell Phone:
CASH ADVANCE
Amount Requested:
Have you used a cash advance plan before?:
Company Used:
Original Balance:
Current Balance:
Multiple Advances?:
Original Balance:
Current Balance:
Average Visa/MasterCard Monthly Sales:
Average Gross Monthly Sales:
FULFILLMENT
Daily Sales:
How many months of stock pre-purchased:
What company are you using:
What CRM do you use:
FINANCIALS
Is the business seasonal?: If so details:
Any open state/federal tax liens or judgments against business or owner:
If so details: Payment plan?:
Use of Proceeds:
NOTES
Certified Member of:
