Please provide the following contact information:

The following questions should be answered as completely as possible otherwise delays will result while we request the information from you.  

1. Enter today's date :

-- mm/dd/yy

2. Is this a New, Startup or Established Business?:

New (Operating Less than 3 Years)
Start Up (Not Yet in Operation)
Established (In business more than 3 Years)
Please Select Properitorship Partnership Private Incorporated Public Incorporated Type of Ownership

3. How long have you been in business?

Less than 1 Year
1 2 3 Please Select 4 5 1 -5 Years (Choose one & round down)
More than 5 years  State # of years

4. Date Business started

5. Do you have a business plan?
Yes No Please Select

6. If you do not, can FBI help you write one? If yes then we will contact you.
Yes No Please Select

7. How much Funding are you looking for ? 

   Currency US Dollars Canadian Dollars British Pounds Euros Other If other currency, What? 

What will it be used for? Please answer as clearly as possible.

8. How much equity are you contributing ? (Amount entered Should be at least 10% of amount asked for and not include what has already been invested. ) This is not what you want but what you can invest in the project. This is important. Please read the Due Diligence Document if you have not already.

  In same currency as above.

9. Describe the equity you are contributing. Is it Cash, Bonds, Building, Land, etc.? Do  you own a home. Yes No Please Select If yes please state the approximate value and mortgage remaining.  This may be required as collateral for any funding.  Additional collateral such as a home may also be required. Collateral is important especially for any business less than 3 years old. Please describe.

10. Are there any outstanding Liens or mortgages on the property?
Yes No Please Select

11. If yes, Please Describe what Kind of  asset it is and how much is owing

12. Describe the type of business, Retail, Wholesale, Travel, Construction Etc.

13. If you have employees, how many?

14. Choose one of the following options:

Financial Statements for the last 3 years are available?
In Business less than 3 years but financial statements are available?
No, but can have financial statements prepared
New business & does not apply.

Financial statements must be prepared by a register accountant. Excel spreadsheets or similar will not be acceptable to funders.

15. Some situations, including a  new business may require personal financial statements or a statement of personal net worth.  Will you be able supply this information?  
Yes No Please Select

16. Choose one of the following options:

We Have applied elsewhere for funding. We have not applied anywhere else. Applied elsewhere but were refused Applied elsewhere but did not like terms

17. If you have applied elsewhere, please state where you applied and the result of that application.  This information helps us determine the best approach to getting you the funding you need. The information will be required later.

18. What type of funding do you require? Please choose one:

Business Loan Leasing Factoring Commercial Mortgage Construction Equity Don't Know, Please help us determine

19. Choose one of the following options:

Business Owns buildings &/or Land Business Owns Equipment Business Has Inventory Business Has Other Assets  

20. Description of above.

22. How Did you Find our Website?

Referred by FBI Agent Link From Another Web Site Google Other Search Engine

23. Please State Name of Referring Agent or website if applicable:

NOTICE!

All information provided is strictly confidential and will not be seen by anyone other than FBI and any of our funders to whom we submit your proposal. 

Remember to check out our book "Unlock the Secrets of Business Financing". For instant downloading here.