Acquisition Financing

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Briefly describe what your company does.* This field is required.

4

What is your website address?* This field is required.

5

Briefly describe the nature of the business you will acquire.* This field is required.

6

Will you be the only Principal involved in acquiring the business?* This field is required.

YESNO

7

Do you have direct experience with respect to the type of business being acquired?* This field is required.

YESNO

8

Purchase Price of Business?* This field is required.

9

Seller Note (if any)

10

How much cash equity from you?* This field is required.

11

How much capital is being requested?* This field is required.

12

Breakdown the use of the loan proceeds:* This field is required.

13

All 3 personal credit scores of the principals (Equifax, Experian and TransUnion)* This field is required.

14

Who can we thank for referring you?* This field is required.

15

Please verify that you are human* This field is required.

16

Thanks for your responses. We will be in contact with you.