Keystone Business Finance Corp - LOAN / LEASE APPLICATION

Keystone Business Finance Corp will use this information to identify potential lenders.  The information you provide will be subject to verification prior to loan funding.  All information provided by you will be kept strictly confidential and be delivered in a secure method to a lender.

 

 
PRINCIPAL'S NAME:
Title: 
Company name:
Street Address: 
City / Town:
State / Province:
Zip / Postal Code: 
Telephone Number: 
Cellular Phone: 
Fax:
Email:
  Start-up     Existing Business  Years in Business: 
  Sole Proprietorship  Partnership  Corporation 
Industry: 
Amount of Financing Requested: 
   
Purpose of Financing: Franchise Purpose  Equipment Financing         Start-up Financing 
     Working Capital  Receivables Financing      Factoring  
  Other (Please Specify): 
   
Briefly Describe the purpose of Financing:
Personal Guarantees Available:    Yes         No 
Credit History of Owner: Excellent    Satisfactory  Poor 
Credit History of Company: Excellent  Satisfactory  Poor 
If a Business Purchase:  Purchase Price  $
  Cash Invested by Buyer$
  Total Business Assets  $
  Total Liabilities  $
  Total Business Net Worth  $
  Company's Annual Revenue  $
  Company's Annual Profit  $
   
How did you hear about Keystone Business Finance? 
   
 
Exclusive use of Keystone Business Finance Consultants only.