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This preliminary application will get us started

Contact Information
Contact Name:
Company Name:
Email Address:
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Cell Phone:
Fax Number:
Website URL:
Best Way to Contact Me:
Best time to call:
I am interested in a loan to:
Estimated Loan Amount:
Your Timetable:
Type of Business:
Optional Information

The following information is optional, but can be very important to help us evaluate whether you will qualify for an SBA loan as well as areas we may be able to help you with. 
Please take a few minutes to fill out what you can.
Have you applied for a  business loan within the last year?
 Yes No

If yes, describe:
Have you or any principal (partner) ever had a bankruptcy?
 Yes No

If yes, how many years ago?

Describe:
Are you or any principal (partner) involved in any pending lawsuits?
 Yes No

If yes, describe:
Are all your current taxes paid?
 Yes No
Do you owe money on student loans?
 Yes No
If yes, are you current with your payments?
 Yes No
Do you have the ability to make a downpayment on the loan?
 Yes No
If yes, how much can you put down:

Do you own your own home?
 Yes No

If yes, how long have you lived there?
How much equity do you have in your house?
Describe any other collateral that you can offer if it is needed:
Will there be partners?
Yes No
Don't Know
If you are married, will your spouse be on the loan?
Yes No
Don't Know
If yes, describe:
Are you and your partners US Citizens?
Yes No Not All
If no, do you or your partners/spouse have a "green card"?
Yes No Not All
Comments:
Have you ever been arrested or convicted for a criminal offense?
Yes
No

If yes, when did this occur and describe the circumstances and nature of arrest and/or conviction:
If you are opening a franchise business, have you been approved by the franchise?
Yes No Application Pending
If it is a start-up or first time business acquisition, do you have direct or related experience in the business.  Describe work and/or management experience or skills that will enable you to run the new business:
Other comments: