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When did you start your business?

0 – 12 Months 1 – 2 Years 2 - 5 Years 5 - 10 Years 10+ Years

What type of business entity do you own?

Limited Liability Company (LLC) Corporation Sole Proprietorship Partnership

In which state was your business formed?

What is your business EIN (Employer Identification Number)?

How much funding are you seeking?

$5,000–$24,999 $25,000–$49,999 $50,000–$99,999 $100,000–$149,999 $150,000–$299,999 $300,000–$499,999 $500,000+

What percentage of the business do you own?

What is your current available business cash-on-hand balance?

How do you plan to use the funds?

Working Capital Cash Flow Equipment Purchase Business Expansion Inventory Payroll Marketing Other

What is your business’s annual revenue?

What is your estimated personal credit score?

Poor (Below 600) Fair (600–679) Good (680–719) Excellent (720+)

Which industry best describes your business?

Construction Transportation Food Services Financial Services Software Insurance Real Estate Retail Warehousing Other

Application Received!

Thank you for applying with Verifen. One of our experienced Business Advisors will reach out to you shortly to discuss your options. We're here to help you access the capital you need. quickly, clearly, and with expert support every step of the way.

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