Business Purchase Form - IE Loan Network

SBA/Business Loan Intake Form

Acquisitions | Start-up/Franchise | Working Capital

Are you the Borrower or Broker/Loan Originator? *

Are you working with a broker, borrower, or loan originator? *

Broker/Loan Originator First Name *

Broker/Loan Originator Last Name *

Broker/Loan Originator Email Address *

Broker/Loan Originator Phone # *

Borrower First Name *

Borrower Last Name *

Borrower Email *

Borrower Phone *

Business Transaction Type *

Has the borrower(s) had a previous Bankruptcy? *

What year was your Bankruptcy? *

Business Owner Credit Score *

PURCHASE or START UP PRE-QUALIFICATION DETAILS: *

Down payment amount available?
Business Industry Type(s):
How soon are you looking to buy or start your business?

WORKING CAPITAL DETAILS: *

Business Start Date
Business Entity Name
Business Industry
What state(s) is this business registered in?
Business Website URL
What is the intended use of funds for?
Loan Amount Requested
Do you own the Real Estate this business occupies?
Estimated Real Estate Value (If owned)

PURCHASE EXISTING BUSINESS DETAILS: *

Business Purchase Price
Down Payment Available
Seller Financing Amount (if any)
LOI Accepted
Business Industry

PURCHASE BUSINESS + REAL ESTATE DETAILS: *

Business Purchase Price
Real Estate Purchase Price (If separate)
Down Payment Amount Available?
Seller Financing Amount (if any)
Business Industry
LOI/Offer Accepted?

FRANCHISE PURCHASE DETAILS *

Name of Franchise
Down Payment Amount Available?
Franchise Industry Type
How soon do you need funding?
Loan Amount Needed?

START-UP BUSINESS DETAILS *

How much down payment is available?
Business Industry Type
Loan Amount Requested?
How soon do you need funding?

Has this business loan request been denied by another bank or lender? *

Additional details about your loan request:

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive emails and/or text messages from the business.