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Equipment Vendor
Pre-qualification Application
Apply Now
A/R Factoring Application
Loans and Lines of Credit
About
Contact
Special Offer
Bankroll
Paid Online Jobs
Debt Restructuring
Legal Company Name*
Fed. Tax ID #
Type of Business
Years in Business
Annual Sales (or projected)
Owner/Member Name*
Owner Home Address
Ownership Percentage
Approximate Credit Score
ASSETS
Owner #1 - Assets
Owner #2 - Assets
Cash - Checking
Cash - Savings
Securities
Notes Receivable
Life Insurance Cash Surrender Value
Retirement Funds
Real Estate Value
Other Assets
TOTAL ASSETS
LIABILITIES
Owner # 1 - Liabilities
Owner # 2 - Liabilities
Current Debt
Notes Payable
Taxes Payable
Real Estate Mortgages
Other Liabilities
TOTAL LIABILITIES
NET WORTH
SOURCES OF INCOME
Owner # 1 - Sources of Income
Owner # 2 - Sources of Income
Employment Information
Salary
Bonus and Commissions
Real Estate Income
Other Income
TOTAL INCOME
Submit
Owner/Member Name*
Owner Home Address
Ownership Percentage
Approximate Credit Score
ASSETS
Owner #1 - Assets
Owner #2 - Assets
Cash - Checking
Cash - Savings
Securities
Notes Receivable
Life Insurance Cash Surrender Value
Retirement Funds
Real Estate Value
Other Assets
TOTAL ASSETS
LIABILITIES
Owner # 1 - Liabilities
Owner # 2 - Liabilities
Current Debt
Notes Payable
Taxes Payable
Real Estate Mortgages
Other Liabilities
TOTAL LIABILITIES
NET WORTH
SOURCES OF INCOME
Owner # 1 - Sources of Income
Owner # 2 - Sources of Income
Employment Information
Salary
Bonus and Commissions
Real Estate Income
Other Income
TOTAL INCOME
Submit
PERSONAL FINANCIAL STATEMENT
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