Business Information

* Required Information
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*

OFFICERS, OWNERS, OR PARTNERS

(With 20% ownership interest of more) if owner is an LLC or trust, add the managing member or trustees in the ownership field below

Owner
+
*
*
*
*
*

Current Business Debt

Lender Loan Type Current Balance Monthly Payment Maturity Date
+
Corporate Member
+
Please Provide
Projected Current Year Last Year 2 Years Ago 3 Years Ago
Revenue *
Net Income/Loss *
Total Assets
Total Liabilities
Equity
*
Use of Proceeds:
*
Terms and Conditions
PLEASE INITIAL BELOW:

* As an authorized representative I submit this pre-application for a loan to the Business Consortium Fund, Inc. (BCF) and subsidiaries. I authorize BCF to make inquiries as necessary to verify the accuracy of the statements, and should it be required; I will provide additional information to determine the creditworthiness of the individual owners listed above.

Any loan application that results from this inquiry will not be considered complete without a non-refundable application fee of $350.00