LONG TERM FUNDING

Questions?

Talk to a Specialist.
Call us at (202) 719 2750
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1 Personal info
2 QUESTIONS
3 BUS. Info
4 Owner Info

Business / Contact Information, Use of Proceeds

You're on your way! Just fill out some basic info below and hit 'NEXT', and we will send you a secure email with your account details. This will be the primary contact information that we will use during the lending process. This should be the person who will be coordinating the loan process at your company.

Use of Proceeds
Personal Information
Business Name
Primary Contact Name
Business Phone
Quick Questions

Before we get started we need to ask a few questions:

1

2

3

4

Are you a US citizen or a permanent US resident?
Is your business
a not-for-profit?
Is your business primarily engaged in lending?
Have you ever defaulted on a government loan?

5

6

7

8

Is your business a Sexually Oriented Business or is it primarily focused on Gambling?
Are you presently under indictment, on parole, or on probation?
Have you been arrested in the past six months for any criminal offense?
For any criminal offense - other than a minor vehicle violation - have you ever: 1) been convicted; 2) plead guilty; 3) plead nolo contendere; 4) been placed on pretrial diversion?
Business Info

Please tell us a little about your business and what you will do with the loan proceeds.

Legal Business Name
Nature of Business
EIN
Business Start Date
Intended use of proceeds
0 /
Is Your Business a Franchise?
Business Address
Address Line 1Physical Address - NO P.O Box Allowed
Address Line 2If applicable
City
ZIP
Owner's Info

Tell us about yourself. We're almost done!





ANNUAL SALARY
TOTAL ASSETS
TOTAL LIABILITIES

NET WORTH

$[FIELD116-FIELD117]

Owner's Information
First Name
Last Name
Phone Number
Social Security Number
Date of Birth
Home Address
Address Line 1Physical Address NO P.O Box Allowed
Address Line 2If Needed
City
Zip
Owner Business Information
Ownership Percentage
Date Became Owner
Do You Have Prior Business Management Experience?
Do You Have Prior Business Ownership Experience?
Do You Rent / Own Your Home
Amt. Monthly Mortgage/Rent
Terms & Conditions

By clicking "Submit Application", you certify that all the information you've given with this application is true and complete and you authorize First Down Funding to verify all your statements with any source, obtain credit and employment history, (including spouse's, if you live in a community property state) and exchange information with others about your credit and account experience with First Down Funding. You agree to provide additional information that First Down Funding may require to process this application, including but not limited to true and complete federal income tax returns, employment verification and income verification.

I Agree, this Application will be scored using only the information currently provided
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