SBA Express Loan
Comprehensive Business Funding Application
Corporation/Legal Name*
Doing Business As*
Contact Name
Business Address*
City*
State*
Postal Code*
Fax Number
Business Phone Number*
Mobile Phone Number*
Email Address*
Products or Services Sold*
Business Category*
Retail
Wholesale
Restaurant
Bar
Lodging
Manufacturing
Automotive
Medical
Services
Technology
Other
Average Monthly Revenue*
Credit Card Processing Monthly Volume
Average Ticket/Invoice Amount
Payment Methods Accepted
Cash
Check
Wire/ACH
Visa/Mastercard
American Express
Discover
Choose all that apply.
Month/Year Established*
/
Length of Ownership*
/
Years/Months (Ex: 3 Years and 2 Months = 03/02)
Number of Employees*
Federal Tax ID*
Business Property*
Rent
Own
Square Footage
Monthly Rent/Mortgage*
Type of Entity*
Corporation
LLC
Sole Proprietorship
Partnership
LLP
Non-Profit
Choose one.
Landlord/Mortgage Company Name
Contact Name
Landlord Phone Number
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