*Required fields

First Name:*

 Last Name:*

Street Address:*

City:*

State:* AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code:*

 Phone (day):*-- ext 

 Phone (eve.):*--

Email:*

*What type of loan service does your company need?
Establish a first loan, Refinance an existing loan, Add a new loan

*If your company has an existing loan, is it personally guaranteed?

*If your company has an existing loan, what size is it?

*Please indicate your annual sales

Please select one Less than $500,000 $500,001 to $1,000,000 $1,000,001 to $5,000,000 $5,000,001 to $10,000,000 $10,000,001 to $25,000,000 Greater than $25,000,000

*What is the purpose of the loan?
(such as, Inventory and receivables financing, Purchase of equipment, New construction/expansion, 
Acquisition of another business, Finance the purchase of commercial real estate)

*Please specify the exact loan amount you are requesting
(minimum $25,000)

Which type of loan are you considering?
(All that apply) No preference   SBA loan   Term loan   Line of credit

*How would you rate your business credit?

*What is your company's profit after tax as a percentage of sales?

*Has your company filed for bankruptcy within the last 5 years?

*What is the net worth of your company?

*If this loan will be personally guaranteed, does the guarantor own a home?

*What type of organization is your company? 
 Corporation - publicly owned
Corporation - privately owned
Partnership
Proprietorship
Trust

*How long has your company been in business?

*Closest metropolitan area to your place of business and state

*Describe the products/services you provide. 

*Please explain your reason for requesting this loan and how
you will use the money 
(more details will improve your chances)