INQUIRY FORM
Business Information
Business Name
Street Address
City
State
Please select...
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
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Zip
Business Type
Small Business
Affordable Housing
Community Facility
Other
Business Legal Structure
Sole Proprietorship
LLC
Corporation
Non-Profit
Partnership
Other - Please describe
Date Business Formed
Contact Info
First Name
Last Name
Email
Phone Number
Loan Information
Purpose of Loan
Please select...
Working Capital
Commercial Real Estate Purchase
Commercial Equipment Purchase
Expansion
Relocation
Multipurpose
Construction
Debt Refinance
Other
Other - Purpose of Loan
Requested Loan Amount
$
Do you have cash available to inject in your business?
Yes
No
Do you have collateral?
Yes
No
Is your personal credit score 600 or higher?
Yes
No
Unknown
Minimum acceptable score is 600
What is your credit score range?
300-599
600-699
700-799
800-900
Would you like to receive business counseling/advising?
Yes
No
What type of counseling/advising do you need?
Please select...
Business Accounting/Budget
Business Financial/Cash Flow
Business Financing/Capital Sources
Business Operations/Management
Business Plan
Business Start-up/Preplanning
Buy/Sell Business
Credit Counseling
Customer Relations
Cyber Security/Cyber Awareness
Disaster Planning/Recovery
eCommerce
Franchising
Government Contracting
Human Resources/Managing Employees
Intellectual Property Training
International Trade
Legal Issues
Marketing/Sales
Tax Planning
Technology
Other
Other Counseling Description
Would you like your counseling/advising to include strategies for good jobs for their frontline workers, such as benefits and/or higher hourly wages?
Yes
No
Additional Comments/Notes
reCAPTCHA helps prevent automated form spam.
The submit button will be disabled until you complete the CAPTCHA.
Contact Information