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Company Name:
Contact Name:
Email Address:
Phone Number:
City / State:
Date Established:
Your Approximate
Credit Score:
How much capital do
you need?
If you are an existing
business, Did you file
business tax for the
last 2/ 3 years?
What is the use of
fund for?
If you have collateral
Please specify the
types of collateral
(tangible assets) you
have for the loan?
How did you hear
about us?
Referred by:
Business Description:
Business Capital Inc.

Capital For Business
$15k to $200M