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Vision Capital Ventures
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1
BASICS
2
BUSINESS
3
PERSONAL
4
BANK
How much would you like to borrow?
(Required)
How soon do you need the money?
(Required)
How will you use the loan?
Buying equipment
Hiring employees
Remodeling/ Expansion
Purchasing inventory
Marketing
Other
First Name
(Required)
Last Name
(Required)
Best Contact Number
(Required)
Your Email Address
(Required)
Legal Business Name
(Required)
What year did you start your business?
(Required)
Business DBA Name
(Required)
Industry Type
(Required)
Business Address
(Required)
City
(Required)
State
(Required)
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zipcode
(Required)
Business Phone
(Required)
Legal Entity Type
(Required)
Sole Proprietor
Corporation
Limited Liability Company (LLC)
General Partnership
Limited Partnership (LP)
Limited Liability Partnership (LLP)
Non-Profit
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Entity - Corp
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Entity - LLC
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Entity - Partnership
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Entity - LP
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Entity - LLP
This field is hidden when viewing the form
Entity - Sole Prop
Business Tax ID
(Required)
We use this to confirm your business' identity and that you are the owner.
Credit Score
(Required)
Gross Annual Sales
(Required)
Average Monthly Deposits
(Required)
We use this to determine your overall business performance.
Do you currently have other short-term financing?
(Required)
Yes
No
What is your outstanding balance?
(Required)
Any Judgements/Liens
(Required)
Yes
No
Any Open Bankruptcies
(Required)
Yes
No
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Any Open Bankruptcies - No
(Required)
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Do you currently have other short-term financing? - No
(Required)
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Any Judgements/Liens - No
(Required)
Owners First Name
(Required)
Owners Last Name
(Required)
Owners Home Address
(Required)
Owners City
(Required)
Owners State
(Required)
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Owners Zipcode
(Required)
Owners Contact Number
(Required)
Owners Date of Birth
(Required)
Owners Social Security Number
(Required)
We need your full Social Security Number. This is required so we can verify your identity.
How much % of the business do you own?
(Required)
Please enter a number from
1
to
100
.
First Name of Additional Owner
(Required)
Last Name of Additional Owner
(Required)
Home Address of Additional Owner
(Required)
City of Additional Owner
(Required)
State of Additional Owner
(Required)
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zipcode of Additional Owner
(Required)
Contact Number of Additional Owner
(Required)
Date of Birth of Additional Owner
(Required)
Social Security Number of Additional Owner
(Required)
We need your full Social Security Number. This is required so we can verify your identity.
How much % of the business do they own?
(Required)
Please enter a number from
1
to
100
.
Application Agreement
(Required)
By checking here you agree that you have read and agree to Vision Capital Ventures Application and Credit Profile Agreement. (which authorizes us to collect various types of information on your company, including background and credit checks, and credit card sales data)
We need statements from your business checking account for the most recent 4 months.
Please upload PDF bank statements from your bank.(If you dont have at this moment, you can skip this.) This helps us make better and faster decisions on your application.
Drop files here or
Select files
Accepted file types: pdf, Max. file size: 264 MB.
Your Signature
(Required)
Additional Owner Signature
(Required)
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Application Date
(Required)
This field is hidden when viewing the form
Application Date Additional Owner
(Required)
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