SBA FastTrack Loan - Opalescent Funding

Borrower Info

Personal Info

Marital Status?

UnmarriedMarriedSeparated

Citizenship U.S. CitizenPerm Resident AlienNon-Perm Resident Alien

Business Entity

General Business Info

Business Address

Business Details

Is your business home based?
YesNo

Is this business or are any of the business affiliates involved in any pending litigation?
YesNo

Does the business have any outstanding tax liabilities?
YesNo

Is the business a franchise?
YesNo

Business Financials

Has business ever filed for bankruptcy?
YesNo

Does the business have any outstanding judgment(s) or tax liens?
YesNo

Members/Officers (100% of ownership must be reflected)

Citizenship
U.S. CitizenPerm Resident AlienNon-Perm Resident Alien

Borrower Background

Have you ever filed bankruptcy?
YesNo

Are there any active lawsuits against you?
YesNo

Do you have any outstanding tax liens or judgments?
YesNo

Have you ever been convicted of a felony?
YesNo

SBA Questions

Does the Small Business Applicant have any Affiliates (own other businesses)?
YesNo

Is the Small Business Applicant and/or its Affiliates presently involved in any pending legal action?
YesNo

Has your business received a PPP loan?
YesNo

Has the Business received an Employee Retention Credit (ERC)?
YesNo

Estimated Project Cost/Use Of Funds Breakdown

TOTAL ESTIMATED PROJECT COST

Terms And Conditions

Credit Authorization: By submitting this Application Form; Business Applicant and each Individual (each a “Signer” and collectively “Signers”) represent, acknowledge and agree as follows: (i) Signer is authorized on behalf of the business and all Owners, whose name(s) you have entered above to initiate this pre-qualification process for credit, and (ii) all information you have provided is true, correct and complete and that you will notify us of changes to such information. Signer understands and agrees that LoanBud, Inc. and its Affiliates are authorized to contact third parties to conduct background checks and other investigative reports and make credit report inquiries (including requesting business and personal credit bureau reports from credit reporting agencies and other sources). By signing below, you are further providing “written instructions” to LoanBud, Inc. and its Affiliates under the Fair Credit Reporting Act authorizing LoanBud, Inc. and its Affiliates to obtain information from your personal and business credit profile, as well as the personal credit profiles for Signer and all listed Owners, to conduct a qualification for credit in connection with your business. E-Sign Consent: You hereby consent that your electronic signature on agreements and documents has the same legal and moral effect as if you signed such agreements and documents in ink and will be deemed valid, authentic, enforceable and binding. Pursuant to law and regulations, you agree and acknowledge that all electronic communications delivered to you by LoanBud, Inc. and its Affiliates (a) shall be given the same legal effect as signed paper communications, (b) shall be considered a “writing” or “in writing” and (c) shall be deemed for all purposes to have been “signed” and to constitute an “original” when printed from electronic files or records established and maintained in the normal course of business.