Business Loan Form

What will you use the money for?

Have you been in business for 2+ years?

Is the business currently operating?

Business Name

Business Location

Address

Street Address Address Line 2 City State ZIP Code

Loan Amount

Credit FICO

Contact Person

Email

Phone

Annual Business Revenue (Gross)

Annual Personal Income (Gross)

Bankruptcy, Short Sale, or Foreclosure?

Did you receive any SBA disaster funds?

Additional Notes / Comments

California loans made pursuant to the California Finance Lenders Law, Division 9 (commencing with Section 22000) of the Finance Code. All such loans made through Jack Artinian a licensed finance lender/broker, California Finance Lenders License No. 60DBO-84212.