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Small Biz Loan Qualification Form
businessready
2024-11-06T09:36:58-06:00
Small Biz Pre-Qualification Questionnaire
Step
1
of
3
33%
Prior to completing the application for a Small Biz Loan, you must first verify that you and your business meet the eligibility qualifications. Please answer the questions below:
Company Name
(Required)
Company Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Name
(Required)
Dr.
Miss
Mr.
Mrs.
Ms.
Mx.
Prof.
Rev.
Prefix
First
Middle
Last
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
(Required)
Enter Email
Confirm Email
Relationship to Company
(Required)
Owner
Partner
Member
Shareholder
Officer
Manager
Accountant
Legal Counsel
Is your business in Washington County?
(Required)
Yes
No
Has your business been operating for the last 12 months?
(Required)
Yes
No
Do you have 15 or fewer full-time employees?
(Required)
Yes
No
Is your business a for-profit, privately-owned business? (Governmental and non/not-for-profit businesses are not eligible)
(Required)
Yes
No
Does your company, or another related business, currently have a loan through EDWC?
(Required)
Yes
No
Are any of the business owners with a 20% or greater ownership in the business currently incarcerated; subject to indictment, criminal conviction, arraignment, or other means by which formal criminal charges can be brought for any felony?
(Required)
Yes
No
Have any of the business owners with a 20% or greater ownership in the business been convicted, pleaded no contest, or commenced probation or parole for any financial crimes committed in the last five years such as embezzlement, bribery, tax evasion, lying on a loan application, or for any other felony?
(Required)
Yes
No
Are any of the business owners with a 20% or greater ownership in the business behind on obligations with any federal, state or local governmental body?
(Required)
Yes
No
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