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Basic Information

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Lead Source

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Profile Started

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IP Address

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How much funding do you need?*

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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

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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

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Which best describes the industry of the business?*

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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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Business Information

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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!

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Ownership Information

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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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