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SSN
*
Social security number is required to verify your identity. Applying will not impact your credit score. We value your privacy. Your data will be encrypted and not shared with any unauthorized parties.
FICO Range
*
550-600
600-650
650-700
700-850
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Business Information
Business Legal Name
*
Doing Business As
*
Business Address
*
Address Line 1
City
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Alaska
Arizona
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California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Hawaii
Idaho
Illinois
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Iowa
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Ohio
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Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Business Phone Number
*
Business Email
*
Business Website
Industry Type
*
EIN (Business Tax ID)
*
Entity Type
*
Corporation
LLC
Partnership
Sole Proprietor
State Incorporated
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Business Start Date
*
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Ownership Percentage
*
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Financial Information
Amount Requested
*
Annual Revenue
*
Brief Description Use of funds
*
Funds Needed By
*
ASAP
Within 1 Week
Within 2 Weeks
Within 1 Month
Within 1 Year
Upload Bank Statements
*
Click or drag files to this area to upload.
You can upload up to 12 files.
Please upload the last 3 months of the business bank statements.
Authorizations
Terms of Service
*
I Accept the Terms of Service Below
The Merchant and Owner(s)/Officer(s) identified above (individually, an “Applicant”) each represents, acknowledges, and
agrees that (1) all information and documents provided to The Small Business Venture Group, Inc (“SBVG”) are true, accurate, and complete, (2) Applicant will immediately notify SBVG of any change in such financial condition, (3) SBVG and it’s affiliates are authorized to request and receive any investigative reports, credit reports, statements from creditors or financial institutions, verification of information, or any other information that SBVG and it’s affiliates deem necessary, (4) Applicant waives and releases any claims against SBVG and any information-providers arising from any act or omission relating to the requesting, receiving, or release of information, and (5) each Owner/Officer represents that he or she is authorized to sign this form on behalf of Merchant.
Please note that fillng out this form or providing The Small Business Venture Group, Inc. (SBVG), does not guarantee funding. Applicant will be subject of being approved.
Owner's Signature
*
Clear Signature
Please sign here.
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