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Full Name of Business Owner: Gender: MaleFemaleOther Phone Number: Email Address: Personal Credit Score Range: Poor (300-579)Fair (580-669)Good (670-739)Very Good (740-799)Excellent (800-850)
Business Name: Registered State: Registered Country: Registered Business Address: Business Turnover (Annual Revenue): Business EBITDA (If Known): Business Type: CorporationLLCSole ProprietorshipPartnership Year Established: Do you have any co-owners or partners in the business? YesNo
Please provide their names and ownership percentages:
Amount of Loan Requested: Purpose of the Loan: Working CapitalEquipment PurchaseExpansionOther
Do you authorize Prospa to access your business financial statements and bank records to verify your financial information? YesNo Do you authorize Prospa to conduct background checks on you and your business as part of the loan approval process? YesNo Do you give permission for Prospa to run a soft credit check that won’t affect your credit score? YesNo Do you consent to Prospa sharing your data with partners if you are eligible for loans? YesNo Do you agree that Prospa can retain your information in its database for future reference and loan eligibility checks? YesNo
Please provide a brief description of your business:
Have you previously taken a loan for your business? YesNo
Please provide details (amount, purpose, and repayment status):
What is your current cash flow situation? PositiveBreak-evenNegative
Do you have any business assets that could be used as collateral? YesNo
Please list the assets and their estimated values:
What differentiates your business from your competitors?
What are your growth plans for the next 1-3 years?
How do you plan to use the funds from this loan to achieve your goals?
Is your business fully compliant with local regulations and licenses? YesNo
If no, please explain:
Do you have business insurance? YesNo
If yes, please specify the type of coverage: