Business Consultant | Alpharetta, GA

Profile Application

Name

DBA

Business Entity Type (Corp/LLC/SProprietorship)

State of Organization

Date Business Established

Date Ownership Established

Industry Type/Nature of Business

Manufacturer/Wholesaler/Retailer/Service/Other?

Is Your Business Seasonal?

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Business Address

City

State

Zip Code

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Business Fax

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Business Web Site URL

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Monthly Rent or Mortgage Payment

Landlord or Mortgage Company

No. of Employees

Annual Sales Last Year

Projected Sales This Year

Amount of Funding Requested Use of Funds

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List Other Lenders you Applied With Bank(s) of your Business Accounts

Who is your business checking account with?

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Business Savings Account Average Balance

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Do the Business have Tax Liens/Judgements?

Good Standing with Secretary of State?

Do you Accept Credit Cards?

What is your Monthly Credit Card Volume?

What Is your Average Transaction Amount?

BUSINESS FUNDING APPLICATION OWNER(S)/OFFICER (S) INFORMATION 1st Owner/Officer 2nd Owner/Officer

BUSINESS FUNDING APPLICATION OWNER(S)/OFFICER (S) INFORMATION

1st Owner/Officer 2nd Owner/Officer

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Title

Percentage of Ownership

Date Ownership Began

Driver’s License Number

State Issued

Issue Date

Expiration Date

Birth Date

Social Security Number

Home Address

City

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Zip Code

Home Phone Number

Cell Phone Number

Email Address

Own or Rent Home

Monthly Payment

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Date of Purchase/Move-In

Are you a US Citizen?

Mother’s Maiden Name

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Spouse Full Name (If Applicable)

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Are you or a Family Member an Active/Retired U.S. Military?

Investment Accounts (Stocks/Bonds/IRA/401K/ Investment Properties)

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Are you undergoing Credit Repair?

Have you filed for Bankruptcy?

Experian Credit Monitoring Username

Experian Credit Monitoring Password

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Experian 4 digit pin

Nav.com

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password

AUTHORIZATION/ CERTIFICATION

AUTHORIZATION/ CERTIFICATION I/we certify that the outstanding interest in the business is owned by those who are either citizens of the United States or reside in the United States after being legally admitted for permanent residence. I/we also guarantee the above and enclosed information to be true and correct. I also understand that intentional misrepresentation of facts may be the basis for a denial of credit. I/we authorize you to check my/our personal and company credit information.

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Signature

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info@cyclebillions.com

Mon - Fri 8:00 am - 8:00 pm

1010 Powers Place Alpharetta Georgia 30009