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UNSECURED WORKING CAPITAL ADVANCE

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NON MORTGAGE BUSINESS CAPITAL

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DEBT CONSOLIDATION

CUSTOM LOANS

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WE FUND ALL BUSINESS TYPES A-Z
Capital solutions for your business, simplified.
  • Receive your bank wire in 3 days
  • Preserve your sources of capital
  • No fixed payment
  • No fixed term
  • It's easy and convenient
  • Minimum FICO Score 500
  • We pay off tax liens
  • Past bankruptcy OK
CREDIT APPLICATION
   
Where Did You Hear About Us:*
Funds Needed:*
Purpose of Loan:*
LEGAL NAME OF BUSINESS OR PRACTICE:*
DBA:*
TIME_IN_BUSINESS:*
Email Address:*
BUSINESS OR PRACTICE ADDRESS:*
Company Type:*
Business Industry or Medical Speciality:*
Business Owner or Physician Name:*
Percentage of Ownership:*
Business Start Date:*
Business Phone No:*
Business Fax No:*
Date of Birth:*
SSN:*
Tax ID No:*
Drivers License No/State:*
Cell Phone No:*
Home Phone No:*
Home Address:*
2nd Owner Name:
2nd Owner Title:
2nd Owner Percent:
2nd Owner Phone No:
2nd Owner SSN:
2nd Owner Drivers License No/State:
Do You Accept Credit Card?* YES
NO
Monthly Credit Card Volume:
Does Business Accept Checks?* YES
NO
Average Monthly Bank Deposit*
Medical License No:
Net Worth:*
Last Year Business Gross Revenue:*
Landlord Name:
Landlord Ph:
Comments:
 

Apply For A Loan Today

 

 


By initialing the application where indicated on this loan application I hereby authorize the release of all credit information, including loans, leases, checking, savings, trade references and personal credit history, pertaining to the company, its principles, and the people listed below to Doctor Working Capital and/or its designees or assignees. Such authorization shall extend to subsequent updates for credit and collection purposes.

   


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