| Use of Proceeds
|
|
Tax ID / EIN
(##-#######)
|
|
Business Start Date
(mm/dd/yyyy)
|
|
| Industry
|
|
| Years at Location
|
|
| Number of Locations
|
|
| Length of Ownership
|
|
| Seasonal Sales
|
|
| Seasonal Months
|
|
| Annual Revenue
|
|
| Accepts Credit Cards?
|
|
| Avg Monthly CC Processing
|
|
| Name of Current Processor
|
|
| # of Monthly Transactions
|
|
| Mortgage / Rent
|
|
| Mortgage / Rent Amount
|
|
| Landlord Name
|
|
| Landlord Phone Number
|
|
| Lease Start Date
|
(yyyy-mm-dd)
|
| Lease Term
|
|
| Ever Used MCA Program?
|
|
| Any open MCA's
|
|
| Current Advance?
|
|
| Outstanding Loans To Owners
|
|
| Any Suits or Judgments?
|
|
| Open State or Federal Tax Liens?
|
|
| Declared Bankruptcy?
|
|
| Bankruptcy Information
|
|
| Attach Documents
|
+ Add Another
|
