BankMyBiz Application

Business Name*

Business Contact*

First Last

Phone*

Fax

Email*

Website

Address*

Street Address Address Line 2 City State ZIP Code

Business Type

Number of Employees

Estimated Annual Sales

Years in Business

Ownership

Business Structure

Proprietorship
Partnership
Corporation

Federal Tax ID

First Principal

Name of First Principal

First Last

Title

% Ownership

SSN

Phone

Home Address

Street Address City State ZIP Code

Is There More Than One Principal?

Yes
No

Second Principal

Name of Second Principal

First Last

Title

% Ownership

SSN

Phone

Home Address

Street Address City State ZIP Code

Loan

Were You Referred?

Yes
No

Bank's Name

Loan Officer's Name

Loan Officer's Phone

Does the Bank Have your Financials

Yes
No

Purpose of Loan*

Example: Purchase Equipment, Working Capital.

Loan Amount

Loan Term

Estimated Credit Score*

300-600
601-650
650-700
700+

I hereby authorize Advantage+ or any credit bureau or other agent employed by Advantage+ to investigate my credit. I also authorize my bank to release my financial information to Advantage+

Complete your loan application online!

BankMyBiz Loan Application

Ownership

First Principal

Second Principal

Loan