Application Form - Diamond Financial

1Borrower Information

2Loan Information

3Optional Information

Borrower Information
By filling out this form, you are agreeing to be contacted by a Diamond Financial Services relationship manager.
First Name:
Last Name:
Email address:
Phone #:
Best way to contact you:
Location:
City State
Do you currently have ownership in other businesses?
Were you referred to Diamond Financial?
Referral name:

Loan Information
The following questions are about the use of loan proceeds and other information.
What will the loan proceeds be used for?
Business name:
Industry:
Business location:
City State
Proposed ownership structure post-acquisition:
Loan use description:
Loan amount:
How much can you put towards a down payment?
Is real estate involved?
Real estate amount:

Optional Information
The following questions are optional, but can be very useful to evaluate whether you will qualify for an SBA loan. Please take a few minutes to fill out what you can.
Have you applied for a loan recently?
With which bank and why?
Do you have any unpaid taxes?
Do you have a payment plan agreed to with the IRS?
Do you have any student loans outstanding?
Are you current with your payments?
Do you own real estate?
What is your estimated equity position in your real estate?
Do you have own any other potential collateral?
Are you a United States citizen?
Are you a permanent resident?
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