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About Us
Our Services
- Business Planning Services
- Loan Preparation Services
Contact Us
Request A Loan

833-365-5626

Let’s Get Started with Your Loan Inquiry

Please fill out the form below with accurate details. All fields marked with * are mandatory.

Personal Information

Full Name *

Address *(Street, City, State, ZIP Code)

Phone *(Include Area Code for Accurate Contact)

How did you hear about us? / Who referred you?Google SearchSocial MediaAdvertisementReferral from a Friend/ColleagueOther

Please specify

Business Information

Business Name *(Registered Business Name)

Business Industry *Specify the industry your business operates in

Business Number *Tax ID, Registration Number, or Employer Identification Number

Business Tax Identification Number (EIN) *Enter your Federal Employer Identification Number or equivalent

Years in Operation *Provide the number of years your business has been active

Financial Details

Gross Monthly Revenue *Approximate monthly revenue generated by your business

Loan Amount Requested *Specify the exact amount of funding you are seeking

Purpose for the Loan *Briefly explain how the funds will be utilized

Tax and Credit Information

Are your business and personal tax filings up to date? *YesNo

Enter the most recent filing years for both personal and business taxes

Current Credit Score *Provide your estimated credit score or range

Ownership and Background

Are you a homeowner or real estate property owner? *YesNo

If Yes, please provide property details: *E.g., Type of property and location

Have you ever filed for bankruptcy? *YesNo

If Yes, please mention the year and case details: *E.g., Year of filing and type of bankruptcy, such as Chapter 7 or Chapter 13

Enter the total number of owners in your business *

What is your ownership percentage in the business? *

Do you have any partner in your business? *YesNo

How many partners do you have? *

What is your partner’s percentage in the business?

Partner *

Employee Information

How many W2 employees do you currently employ? *

Do you currently offer group life and/or health insurance for your employees? *YesNo

If Yes, please specify the type of coverage offered *E.g., Health insurance, life insurance, or both

If not, are you interested in low-cost or no-cost health and/or life insurance options for your business and employees? *YesNo

Acknowledgment and Agreement

Before submission, please carefully review the Terms & Conditions. By completing this form, you agree to the following:

I confirm that the information provided is accurate and truthful to the best of my knowledge

I acknowledge that Biz Loans Now may use this information to assess my eligibility for loan options.

Yes, I agree with the privacy policy and terms and conditions.

833-365-5626
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Home
About Us
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Contact Us
Request A Loan

Home
About Us
Our Services
Contact Us
Request A Loan

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About Us
Our Services
- Business Planning Services
- Loan Preparation Services
Contact Us
Request A Loan

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