Credit Line Capital Application
Unsecured Business Lines of Credit UBLOC
Personal Info
1st Applicant (For answers unknown please write "TBD" for temporary purposes of submitting an initial application to our Underwriting Department)
Name
*
First Name
Middle Name
Last Name
Primary Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Phone
*
-
Area Code
Phone Number
Home Phone
*
-
Area Code
Phone Number
Fax
-
Area Code
Phone Number
Email
*
example@example.com
Date of Birth
*
mm/dd/yyyy
Birth City
*
Social Security Number
*
Mother's Maiden Name
*
Spouse Full Name
First Name
Last Name
Spouse Date of Birth
mm/dd/yyyy
Are you or a family member an active or retired U.S. Military?
*
Yes
No
Drivers License #
*
Drivers License State Issued
*
Drivers License Date Issued
*
Drivers License Date Expiration
*
Reference Contact:
*
Reference Name; Relationship; Company; Contact Number
Reference Contact:
Reference Name; Relationship; Company; Contact Number
Reference Contact:
Reference Name; Relationship; Company; Contact Number
Credit Check Total Login (www.creditchecktotal.com) - $1 will begin your trial membership in CreditCheck® Total. If you do not cancel your membership within the 7-day trial period*, you will be billed $29.95 for each month that you continue your membership. You may cancel your trial membership anytime within the trial period without charge. NOTE: Credit Line Capital will require that you keep an active CreditCheck® Total through the duration of our process.
*
Username
Password (case-sensitive)
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2nd Applicant Personal Info
2nd Applicant (For answers unknown please write "TBD" for temporary purposes of submitting an initial application to our Underwriting Department)
Name
First Name
Middle Name
Last Name
Primary Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Phone
-
Area Code
Phone Number
Home Phone
-
Area Code
Phone Number
Email
example@example.com
Date of Birth
mm/dd/yyyy
Birth City
Social Security Number
Mother's Maiden Name
Spouse Full Name
First Name
Last Name
Spouse Date of Birth
mm/dd/yyyy
Are you or a family member an active or retired U.S. Military?
Yes
No
Drivers License #
Drivers License State Issued
Drivers License Date Issued
Drivers License Date Expiration
Reference Contact:
Reference Name; Relationship; Company; Contact Number
Reference Contact:
Reference Name; Relationship; Company; Contact Number
Reference Contact:
Reference Name; Relationship; Company; Contact Number
Credit Check Total Login (www.creditchecktotal.com) - $1 will begin your trial membership in CreditCheck® Total. If you do not cancel your membership within the 7-day trial period*, you will be billed $29.95 for each month that you continue your membership. You may cancel your trial membership anytime within the trial period without charge. NOTE: Credit Line Capital will require that you keep an active CreditCheck® Total through the duration of our process.
Username
Password (case-sensitive)
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Bank Information
1st Applicant (For answers unknown please write "TBD" for temporary purposes of submitting an initial application to our Underwriting Department)
Personal Bank
*
Average Savings Balance
*
Average Checkings Balance
*
Business Bank
*
Average Checking Balance
*
Mortgage Bank
*
Years Open
*
Monthly Housing Payment
*
Monthly Housing Payment Type
*
Rent
Mortgage
Investment Accounts
*
Stocks
Bonds
IRA
401 K
Investment Properties
Total Investment Accounts
*
Have you ever filed for credit repair?
*
Have you ever filed for Bankruptcy?
*
If you filed for Bankruptcy, which banks were involved?
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Bank Information
2nd Applicant (For answers unknown please write "TBD" for temporary purposes of submitting an initial application to our Underwriting Department)
Personal Bank
Average Savings Balance
Average Checkings Balance
Business Bank
Average Checking Balance
Mortgage Bank
Years Open
Monthly Housing Payment
Monthly Housing Payment Type
Rent
Mortgage
Investment Accounts
Stocks
Bonds
IRA
401 K
Investment Properties
Total Investment Accounts
Have you ever filed for credit repair?
Have you ever filed for Bankruptcy?
If you filed for Bankruptcy, which banks were involved?
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Business Information
(For answers unknown please write "TBD" or "To Be Decided" for temporary purposes of submitting an initial application to our Underwriting Department)
Legal Entity Name
*
D.B.A.
*
Type of Industry
*
Entity Form
*
LLC
Corp
S-Corp
Sole Prop
Professional Title
*
President
VP
Treasurer
CEO
CFO
COO
GM
Projected Income / Sales
*
100K - 150K
201K - 250K
251K - 500K
501K - 1M
1M + Annual
Physical Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Phone
*
-
Area Code
Phone Number
Fax
-
Area Code
Phone Number
EIN Tax ID #
*
Years in Profession
*
Number of Employees
*
Open Business Credit Cards
*
Bank
Balance
Limit
Year Open
Business CC 1
Business CC 2
Business CC 3
AMOUNT OF FUNDING NEEDED: $
*
Please briefly explain how you plan on using your funding for your business:
*
1st Applicant
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
I hereby certify that the information contained herein is complete and accurate. By submitting my credit report and signing this form I am giving consent for Credit Line Capital to utilize my personal information for the purpose of credit consulting with the understanding that it is to be used to determine the amount and conditions of the credit to be extended.
*
Clear
2nd Applicant
First Name
Last Name
Date
-
Month
-
Day
Year
Date
I hereby certify that the information contained herein is complete and accurate. By submitting my credit report and signing this form I am giving consent for Credit Line Capital to utilize my personal information for the purpose of credit consulting with the understanding that it is to be used to determine the amount and conditions of the credit to be extended.
Clear
Upload Documents for Funding
Upload a File
Driver License
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Social Security Card
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Utility Bill Personal Address
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Utility Bill Business Address
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Upload Documents for Funding
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Articles of Incorporation
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Upload Documents for Funding
Upload a File
Voided Check from Business Bank
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of
Upload Documents for Funding
Upload a File
Business Bank Statements for Last 3-12 Months If Available
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of
Upload Documents for Funding
Upload a File
Credit Card Statements for Last 3-12 Months If Available
Cancel
of
Submit
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