Sequoia Enterprise Solution - wk - A Solution-Driven Commercial Lending Company

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Today's Date *

Client Information

Client Name *

Business Name *

Business Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

Funding Request

Are You Purchasing a business? *

If purchasing a business, will it involved any real estate? *

If there is real estate involved, list property address

Address Line 1

Address Line 2

City

State

Zip Code

Amount of Financing Requested $: *

Average Monthly Sales $: *

Actual Gross Sales Last Year $: *

Purpose of Loan *

Nature of Business *

Credit Score *

How soon is the funding needed? *

How many years of business tax returns do you have? *

Do you own your primary residence? *

Do you have any other short term loan, or tax lien? *

If YES, how many loans, and total balance?

Liquid Assets

Types of Assets

Value or Balance $

How many full-time employees do you have? *

Business Website

Are you a US Citizen? *

Note