COMMERCIAL BUSINESS LOAN QUESTIONAIRE

 

Free Business Debt Consultation

 

Commercial Business Loan

MCL CONSULTANTS BUSINESS FINANCE QUESTIONNAIRE:

Please Fill Out Only Those Items Related To Your Loan Request
And Return Via Email Or Fax 1 585 328 0043

Thanks,
Reggie ( mclconsultanting@gmail.com)

TELL US ABOUT YOUR REQUEST

Amount Req $ ______  Min Amount Needed $________

Describe the Type Of Loan & Reason for Request_________

Use Of Funds : (1) ____________ $__________

General Business Info :

Legal Business Name _________ DBA___________

State Tax ID # ___________Fed Tax ID # ___________

Tel____________ Fax ____________

Street ____________  City __________ State ___ Zip ________

Any Open Or Old Tax Lien (s) Amount (s) _________

Total Assets $ ________ Total Liabities $ _________  Net Worth $ ____________

Nature Of Business/Company Type______________ Website___________

Business Inception Date MM_____DD____YYYY_____ No Of Employees

Dunn & Bradstreet # _________________

Revenues Gross: 2010 $ _______ 2011 $ _______ Year to Date-2012 $ ___thru __/month

Net     2010 $ ________2011 $ _______ Year to Date 2012 $ ___ thru __/month

Sole Prop________ Partnership __________  C-Corp_________Sub S Corp__ LLC Other___

Applicate Info:

First Name ___________ Last Name ______ Company Title _________

Home & Cell # _______________ Email Address____________

Home Address ___________ City __________State ___ Zip _____

Date Of Birth__________ % Ownership_______________

Total Household Income (yearly) $ ____________ Total Assets $__________ Total Liabilities $ ____

Married ______ Single ________ Separated_________Divorced_______

ASSET & ADDITIONAL INFO :

Real Estate Owned :

Value Of Residential  Real Estate Owned $ _________ Mortgage Bal ______

Value Of Commercial Real Estate Owned $ _________ Mortgage Bal ______

Any Lien Holder (s) __________?

Business Equipment Owned ( FREE & CLEAR )

Office Equipment & Furnishings $ __________

Industrial & Manufacturing Equipment $ ________

Construction & Farm Equipment $ __________

Medical & Dental Equipment $ __________ Other $ ______

Equipment Purchases

Do You Plan To Purchase Equipment ? YES OR NO  If yes type _________

Receivables & Purchase Orders:

Total Receivables $ ________ Avg Inv. Size $ ________ # Of Accts______Mo.Sales Vol_______

Total Receivables Current $ ______ 30-60 DAYS_____ 60 -90 DAYS_______Over 90_______

Purchase Orders $ ________ Avg.PO Size $ ______ # Of Accounts_________

Have You received PO Financing Previosly Or Now ? If Yes, Who _______

MERCHANT ACCOUNT :

Average Monthly Credit Card Volume (VISA/MC) $ _____ How Many Merchant/Credit Card Accounts?___
Merchant /Credit Processing Info: Processor : ______ Contact# _______ Terminal Type _______
How Processed % Card Swiped_____% Manually Keyed ______ % Phone/Mail Order____% Internet____
Do You Have Any Existing Cash Advances And Or Bank Statement Loans YES/NO  Balances____?

Any Trade References________?

Credit :
Do You Know Your Personal FICO Scores YES/ NO If so what are they_________?
Do You Know Your D & B  Paydex Score? YES/NO _________?
Do You Have Any UCC Lien Filings YES / NO________?
Do You Have Any Existing Credit Lines? YES/NO________?

MISC INFO :

Do You Have Any Federal & State Taxes Past Due? YES/NO If Yes,How Much
Federal $ __________ State $ ______________
Are Your Currently Under The Protection Of The United States Bankruptcy Laws? YES/NO ____
Have You Been Turned Down Previously For Any Loan ? YES/NO_______
Are You Currently Working With Any Lender(s),Consultant(s) Broker(s) On This Project?
YES/NO If so Who__________________
How Much Working Capital Do Have Invested InYour Project? ____________
Do You Have Executive Summary ?
Use Of Funds
Bios On Borrowers
Exit Plan

PLEASE EMAIL OR FAX TO: MCLCONSULTANTING@GMAIL.COM

Mr. REGGIE MCLEOD
MCL CONSULTANTS
BUS-1 585 527 8151
FAX – 1 585 328 0043

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