Inter Capital US

Franchise Growth Loan


FUNDING ASSESSMENT FORM

This form will be used to perform a series of Soft-Pull Assessments toward multiple Business and/or Personal Credit Lines.

Desired amount of funding?  
What is main purpose of funds?  
Do you already have a business?  
Name of Business:
Monthly Business Revenue?  
Business file taxes last year? (last year required)
Was Business Profitable last year? (on biz tax return)

Submission of this form will NOT affect your credit score.

APPLICANT PERSONAL INFORMATION

Name:  
Date of Birth:  
SSN:  
Phone Number:  
Email:  
Address:  
Length at Address:  
Residential Status:  
Mortgage/Rent Amount:  
Type of Employment:  
Employer Name:  
Occupation/Job Title:  
Employer Phone:  
Annual Salary:  
Date Hired:
Other Income / year:  
Other Income Source:  
Which of the following can you use to verify your income?  

In addition to obtaining information from my credit profile, I authorize company to contact lenders
on my behalf and/or preform a series of soft-pulls applications with various lenders for personal and loans and lines of credit in order to determine my funding options. (this will NOT affect your credit score):  

PLEASE NOTE: This is not an application for credit!
Authorization is solely for pre-qualification only.

You understand that by providing a signature below, you certify that all the information provided in this application is true and correct, and you are confirming you have read and understand the Privacy Policy and all applicable disclosures, and you are providing written instructions to this company under the Fair Credit Reporting Act authorizing this company to obtain information from your personal credit profile or other information from Experian and/or TransUnion. You authorize this company to obtain such information solely to conduct a pre-qualification for credit.

Provider of this form makes no warranty, expressed or implied, as to content or fitness of this form. Consult your own legal counsel.

Leave this empty:

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Inter Capital US https://intercap.us
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Document name: Franchise Growth Loan
lock iconUnique Document ID: e689e694afce726948b6e51b02248561a5982a36
Timestamp Audit
May 27, 2020 6:23 pm EDTFranchise Growth Loan Uploaded by Robert Ferra - info@intercap.us IP 176.113.72.52