Pre-Screen Application Thank you for choosing our online submission option. This preliminary application will get us started. * REQUIRED INFORMATIONName* First Last Email* Business Name*Type of Business*Phone*Address* City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Do you have ownership in other businesses?*--YesNoBest Contact Method*PhoneEmailBest Contact Time*MorningAfternoonEveningEstimated Financing Amount*Estimated Financing AmountThe 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 business loan within the last year?--YesNoPlease describeHow many years ago?If yes, how many years ago?Are your current taxes paid?--YesNoDo you owe money on student loans?--YesNoAre you current with your payments?--YesNoDo you have the ability to make a downpayment on the loan?--YesNoHow much can you put down?If yes, how much can you put down?Do you own your own home?--YesNoHow long have you lived there?How much equity do you have in your house?Describe any other collateral that you can offer if it is needed:Will there be partners?--YesNoPlease describeAre you and your partners US Citizens?--YesNoIf no, do you or your partners/spouse have a "green card"?--YesNoCAPTCHAEmailThis field is for validation purposes and should be left unchanged.
