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How much would you like to borrow?
How soon do you need the money? —Please choose an option—Within 72 hoursWithin 3 days - 2 weeksWithin 3 - 4 weeksMore than a month
Type of Loan —Please choose an option—True Term Loan ConsolidationFix & Flip FinancingCash AdvanceSBA Express LoanSubprime SBA LoanReverse Cash AdvanceBusiness Line of CreditCollateral LoanAsset Based LendingInvoice FactoringEquipment FinancingSimple Term LoanMCA RefinancingMerchant Cash Advance Restructure PaymentsRental LoanModificationProperty PurchaseProperty RefinanceCash out Refinance
What is your current credit score?
What will you use the loan for? —Please choose an option—Accounts Receivable (AR) FinancingDebt or MCA ConsolidationExpansion (hire staff, new location, etc.)Marketing / AdvertisingPartnership BuyoutPurchase a BusinessPurchase Equipment / InventoryPurchase or Refinance Business Real EstateWorking Capital
Name:
Date of birth:
Number of Employees:
Best Contact Number:
Email Address:
By leaving your email address you consent to Singh's Capital Group to email you updates on your pre-qualification and other future loan programs we provide that can have great opportunity for your business. Drop Down
How did you hear about us? —Please choose an option—AffiliateBusinessLoans.comEmailFrom a friend / colleagueInternet SearchMailNews ArticleOtherRadio AdSBA Loan ResourcesSocial Network (Facebook, Linkedin, Twitter, etc.)TV Ad
Company Name:
Type of Business Entity: —Please choose an option—S CorporationLLCLTD PartnershipSole Prop
How many full time employees do you have?
Who owns more than 20% of the company if there is anyone?
How many percent of ownership do you have of the company
Business incorporation date
State
Business City
Business Street
Zip Code
Bankruptcies in the past? —Please choose an option—YesNo
If yes how long ago:
Years in Business:
Do You Have a Current Cash Advance? —Please choose an option—YesNo
Name of the lender
Daily payment
Weekly Payment
Current Balance
How Many Loans Do You Currently Have Out? —Please choose an option—123456
Whats the current balance Total:
Total Monthly Payment:
Current or Behind on Payments: —Please choose an option—CurrentBehind
Home Address
Home City
Home State
Home Zip Code
How Long You Lived There For?
Preferred Callback Time:
Collateral —Please choose an option—Real Estate - Residential PropertyReal Estate - Commercial PropertyEquipments
Current Value of the Collateral:
If collateral is a property please fill out info:
Property Address:
Type: —Please choose an option—PrimaryVacation HomeRental PropertyLandCommercial PropertyIndustrialBusiness Location
Square Footage:
Year acquired:
Purchase Price:
Current Debt:
Lien Holder(s):
Property Owners:
Occupancy:
# of Parcels:
What is the debt on the collateral
Last Year Gross Business Revenue
Last Year Net Business Income
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