YOUR CREDIT WILL NOT BE PULLED by JVC upon submission of this application. Please complete all of the below fields to the best of your ability and provide as much detail as possible when prompted. Asterisked(*) fields are required and the application cannot be submitted without completion of these fields. Please note that you CANNOT SAVE THIS APPLICATION ONCE YOU BEGIN; make sure you have all the required information on hand before completing. Please note any fields filled out improperly will have a message BELOW the field in error.

Business/Cash Advance Loan Application

Business name (example: American Equipment Corp)*

Business website:*

Who is submitting this application?*

—Please choose an option—BorrowerBrokerBorrower's Finance PlannerBorrower's CPAReferring LenderReferring RealtorOther

Submitter's full name*

Submitter's phone #*

Submitter's email*

Submitter's company name*

Is the borrower(s) a US citizen?*
—Please choose an option—YesNo

Borrower's full name*

Co-borrower's full name [If applicable]

Borrower's E-mail*

Borrower's phone #*

Borrower's current residence address*

Does the Borrower Own his residence?*
—Please choose an option—YesNo

What is the requested loan amount?*

What business program are you applying for?*
—Please choose an option—Business AcquisitionEquipment FinancingPrivate Business LoanSBA Real Estate LoanSBA Business Only LoanEquipment Loan

List other lenders this loan has been submitted to*

If this loan has been turned down by other lenders, please explain why?*

Is the borrower current on tax return filings?*
Extensions for the current tax year are considered current. If the borrower is outside the extension period for any filings, that would not be considered current.
—Please choose an option—YesNo

Has the borrower ever defaulted on an Government Loan, SBA loan, student loan?*
—Please choose an option—YesNo

Has the borrower filed bankruptcy within the last 2 years?*
—Please choose an option—YesNo

Has the borrower had a foreclosure or short-sale within the last 2 years?*
—Please choose an option—YesNo

Borrower's middle credit score*
—Please choose an option—800+780-799760-779740-759720-739700-719680-699660-679640-659620-639600-619580-599560-579540-559520-539500-519<500

CO-Borrower's middle credit score
—Please choose an option—800+780-799760-779740-759720-739700-719680-699660-679640-659620-639600-619580-599560-579540-559520-539500-519<500

Corporate name as registered with secretary of state*

Corporate Entity Address as filed with the secretary of state (Please include legal name or any DBA names)*

Current address in which Business is physically operating from*

What is the business type?*
—Please choose an option—ServiceIndustrialAgricultureRestaurantProperty ManagementRetailGas StationCar WashTechnologyIndustrial CondoSelf Storage FacilityAutomotive ServiceHospitalHotel/MotelMarinaFranchiseGymMembership BusinessSalesAssisted LivingManufacturingOther

Length of ownership:*

Years at current location:*

# of locations:*

Are there any issues (or hair on the deal) we should know about (foreclosures, BKs, tax liens, back taxes, judgments, convictions, lawsuits, NSFs, defaults, environmental, etc.)?*

Use of Funds / Purpose of the Loan Request*

If the requested financing is going to be used to refinance or purchase real estate, please list the full address of that real estate and the purchase price or amount of debt/mortgage to be refinanced (plus any working capital or renovation funds being requested)

What is the current combined outstanding balance of all Merchant Cash Advances?*

Combined Outstanding Balance of all SBA Loans?*

What is the Borrower's Percent of Ownership of the Business?*

Borrower's Monthly Rent / mortgage payment?*

Borrower's DOB?*

Borrower's Annual Household Income? (this includes spouses)*

When was the business Created?*

How many employee's does the business have NOT including Borrower's?*

What Type of Entity is the Business?*
—Please choose an option—LLCLLPS CorpC CorpSole ProprietorshipGeneral PartnershipLimited Partnership

Do you have existing business financing?* (If yes please name the company it is through, otherwise write NO)

Original balance: (write 0 if you have no business financing)

Current balance: (write 0 if you have no business financing)

Business Tax ID?*

Does the Business rent or own it's facilities?*
—Please choose an option—RentOwn

Does the Business have a separate bank account?*
—Please choose an option—YesNo

Has the Business accepted credit cards for at least 3 months?*
—Please choose an option—YesNo

Cards accepted:*
VisaMasterCardAmerican ExpressDiscoverPIN-based debitNone

What was the business's gross income last tax filing?*

What was the business's net operating income last tax filing?*

Has the business reported a profit on one of it's last 2 tax filings?*
—Please choose an option—yesno

Current processing company:*

Highest volume months:*

Average gross monthly sales:*

Average ticket size:*

Average Visa/Mastercard monthly sales:*

What is the value of the Borrower's Personal cash balances?*

Is business seasonal or closed during part of the year?*
Operates All YearPartial YearSummerWinterWeekends OnlyEvents Only

Is the business for sale? (if yes please explain)

Business Description (Please include a brief description of the businesses operations)*

Brief Executive Summary of Your Deal

(9mb Limit) Executive Summary Upload

(9mb Limit) Profit and Loss Upload / PFS

How did you hear about JVC?*

By clicking "I Accept", I understand and agree that I am only applying for review of my potential deal and contact with JVC, and in no way is this a guarantee to lend by JVC. I Accept

By sending this form I agree to be contacted by JVC and its agents to discuss my application as well to receive new rates, soft quotes or to be notified regarding new finance programs available. You can opt out any time by replying to us with "No longer seeking finance". We are committed to keeping your e-mail address confidential. We do not sell, rent, or lease our contact data or lists to third parties