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Basic Information
Lead Source
Profile Started
IP Address
How much funding do you need?*
This field is required.
How soon do you need funding?*
- As soon as possible
- Within the next week
- Within the next few weeks
- More than a month out
- I am just looking around
This field is required.
How much in sales does the business generate per month?*
- Less than $20,000
- $20,000 to $50,000
- $50,000 to $100,000
- $100,000 to $250,000
- $250,000 to $500,000
- More than $500,000
This field is required.
Which best describes the industry of the business?*
- Accounting
- Advertising
- Aerospace
- Agriculture
- Automotive
- Biotechnology
- Business Services
- Chemicals
- Construction
- Consulting
- Consumer Products
- Education
- Electronics
- Entertainment
- Financial
- Food & Beverage
- Healthcare
- Hospitality
- Insurance
- Legal
- Machinery
- Manufacturing
- Real Estate
- Retail
- Services
- Sports
- Technology
- Telecom
- Transportation
- Not listed here
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What is the entity type of the business?*
- Sole Proprietor
- Partnership
- Limited Liability Company
- Corporation
- Non Profit Organization
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What is the credit score of the primary owner?*
- Excellent (above 720)
- Good (680 to 720)
- Fair (620 to 680)
- Poor (500 to 620)
- Very poor (below 500)
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How do you plan to apply the funds?*
- General working capital
- New or used equipment
- Expanding the business
- Payoff debts or taxes
- Commercial real estate
- Some other purpose
Select all options that apply.
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Bankroll Shortcode
Business Information
What's the legal business name?*
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What's the address for ?*
Street Address City State ZIP Code

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When did start?*
The date the business was established under the current ownership.
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Offers Found!
Everything looks good so far.

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We found offers up to $50,000.

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We found offers up to $100,000.

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We found offers up to $250,000.

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We found offers up to $500,000.

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We found offers up to $1,000,000.

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Ownership Information
What's the full name of the primary owner?*
First Last
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What's the home address for ?*
Street Address City State ZIP Code

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Who's the best contact person?*
First Last
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What's the best phone number to reach ?*
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What's the email address for ?*

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We found a potential match!

We currently require a minimum of $20,000 in monthly sales to qualify for our loan programs. The good news is our partner, OnDeck Capital is currently funding businesses with a minimum of $8,500 in monthly sales. A representative from OnDeck will be reaching out shortly to determine your eligibility and answer any questions you may have.

Thank you for the opportunity to provide funding to your business

Learn more about OnDeck
Everything looks good.

To finalize your maximum funding amount, we need to complete a simple cash flow analysis. Go to the next step to review and upload the required documents.

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Basic Information

Business Information

Offers Found!

Everything looks good so far.

We found offers up to $50,000.

We found offers up to $100,000.

We found offers up to $250,000.

We found offers up to $500,000.

We found offers up to $1,000,000.

Ownership Information

Create your profile

We found a potential match!

Everything looks good.