Business Loan Pre-Qualification Form In order to better assist you with lending options, please answer the following questions...All questions are optional, feel free to skip any you are not comfortable with at this time.Have questions? Call us first or use the general contact form. Toll Free (833) 444-4539 Step 1 of 9 11% Name* First Last Phone*Email* What State of the USA do you live in?AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificAre you a US Citizen or legal permanent resident of the US? Yes No Please select one that applies to youI am starting a new business OR looking to purchase a new franchise territoryI would like to purchase an existing business or acquire a franchise territory from a previous ownerI operate an existing business that needs working capitalWhat is the business you are starting or name of the franchise(s) you are considering? If your business is a franchise, have you paid a deposit or a franchise fee? If so how much have you paid to the franchise? What is the business you hope to acquire? How long has the business been generating revenue? What is the average monthly revenue for the last 3 months? What percentage of the business do you or will you own? What loan amount are you looking for? What is your approximate credit score? Are you married? Yes No What is your spouse’s approximate credit score? Are you or your spouse a veteran of the US military? Yes No Can you provide a copy of the DD214? Yes No Not Sure Have you ever defaulted on a government-backed loan (VA, FHA, Student Loan, SBA loan)? Yes No Have you ever filed for personal bankruptcy? Yes No How many years ago was it discharged? Have you or your spouse ever foreclosed on a home? Yes No How many years ago? Have you been arrested in the past year or do you have a prior felony on your record? (Please note, this does not necessarily disqualify your file. We need to be aware of what documentation will be required.) Yes No Are you involved in any pending litigation including divorce, auto accident, etc.? Yes No If you do not pay off your credit cards each month, what is the approximate total balance due? What is your occupation? What is your annual salary? Do you plan to keep your employment while the business (if new start-up) is ramping up? Yes No If you are married, what is your spouse’s occupation? What is your spouse’s annual salary? Will your spouse be keeping the employment while the business (if new start-up) is ramping up? Yes No What amount of liquid funds do you have in checking or savings accounts? What amount of funds do you have in a 401K or IRA? Would you like information about how to access funds in your retirement accounts without paying penalties? Yes No What amount of funds do you have in other investments (stocks/bonds/mutual funds)? Do you currently have a mortgage? Yes No What is the approximate balance due? What amount of equity do you have in the home? Did you have a mortgage or large loan in the past? What was the approximate loan amount? Do you have other real estate holdings? Yes No Have you registered a legal business name in your State yet? Yes No Which have you registered (or which do you plan to register) LLC S Corporation C Corporation Does your business (or will your business if new) accept credit or debit card payments from customers/clients? Yes No Would you like information about our merchant services equipment and packages? Yes No Would you like information about any of our other business services? (check all that apply) Business checks Printed materials (business cards, brochures, stationary, post cards) Large format print materials (signs, banners, trade show displays) Branded Clothing (embroidered or screen printed) Promotional Items and/or gifts Web Design/Hosting/Domain registration or renewal Email services at your domain Logo Design or Branding Advertisement design for publications Who referred you to Key Commercial Capital? Are you working with a franchise consultant or business broker? CAPTCHAEmailThis field is for validation purposes and should be left unchanged.