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Small Business Loan Questionnaire
Please Provide The Following Contact Information:
Loan Sizes From $50,000 to $2,000,000
Name
Title
Organization
Street Address
Address (cont.)
City
State
Zip Code
Work Phone
FAX
E-mail
Web Site
Loan Proceeds:
Loan Amount
Increase Inventory
Payoff/Consolidate Existing Debt
Purchase New Equipment
Additional Working Capital
Plant Expansion Or Remodel
Build Or Purchase A Building
Accounts Receiveable Financing
Refinance Owner-Occupied Property
Start A New Business
Purchase An Existing Business/Franchise
Business Ownership:
Sole Proprietorship
Partnership
Corporation
Limited Liability Partnership
Limited Liability Corp.
Type of Business:
Franchise
Retail Sales
Service
Wholesale
Manufacturer
Business Facts:
Annual Sales
Number Of Business Employees:
How Many Owners Of 20% Or More?
How Long in Business:
Have You Contacted Your Local SBA Office Or SBA Lender?
Selection
Yes
No
If Contacted What Were The Results?
Additional Comments Regarding Your Business
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