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Business Loan Application Form
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Business Loan Application Form
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Please enable JavaScript in your browser to complete this form.
-
Step
1
of 6
Business Information
Business Name
Business Type
e.g., LLC, Corporation, Sole Proprietorship
Business Registration Number
Business Phone Number
Email Address
Business Address
Address Line 1
Address Line 2
City
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
State
Zip Code
Business Website (if applicable)
Years in Business
Next
Business Ownership and Structure
Business Ownership
Sole Proprietorship
Partnership
Corporation
LLC
Other
Legal Structure
(e.g., C-Corp, S-Corp)
Percentage of Ownership
(for each owner or partner
Next
Financial Information
Loan Amount Requested ($)
Loan Purpose
Total Business Debt ($)
If any
Outstanding Business Loans ($)
If any
Next
If Applicable
Layout
Monthly Gross Revenue ($)
Monthly Net Profit ($)
Next If Not Applicable
Loan Details
Desired Loan Term (months)
Preferred Repayment Frequency
Monthly
Biweekly
Other
Preferred Disbursement Method
Check
Wire Transfer
Other
Next
Documents Required
Please attach the following documents to support your loan application:
Business Plan:
A detailed business plan outlining your goals, financial projections, and how you plan to use the loan.
File Upload (Business Plan)
Click or drag files to this area to upload.
You can upload up to 5 files.
Financial Statements:
Certificate of incorporation.
File Upload (Financial Statements)
Click or drag files to this area to upload.
You can upload up to 5 files.
Bank Statements:
Statements from your business bank account for the last three months of transactions.
File Upload (Bank Statements)
Click or drag files to this area to upload.
You can upload up to 5 files.
Collateral Information:
Details of any collateral being offered to secure the loan (if applicable).
File Upload (Collateral Information)
Click or drag files to this area to upload.
You can upload up to 5 files.
Important Notes
By signing below, you acknowledge that the information provided is accurate and complete to the best of your knowledge.
You authorize SecureFund Loans to conduct a credit check, verify the information provided, and contact references.
You understand that loan approval is subject to creditworthiness, meeting our lending criteria, and the financial health of your business.
Any false information may result in the rejection of your application.
Signature
Clear Signature
Date
Submit
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