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"We love Utah small business!"

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Draw funds and pay back any time.

Much lower cost than a merchant cash advance.

No annual fee.

Loan amount requested(Required)

Please enter a number from 3000 to 30000.

Type of Business(Required)

Business Name(Required)

Business Address(Required)

Street Address City State ZIP Code

Year Business Started(Required)

Number of Employees(Required)

Including owners

Average Monthly Sales(Required)

Number of Business Owners(Required)

Name(Required)

First Last

Cell Phone(Required)

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Title

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Date of Birth

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Address

Street Address City State ZIP Code

Name(Required)

First Last

Cell Phone(Required)

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Title

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SSN

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Date of Birth

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% Ownership

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Address

Street Address City State ZIP Code

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Hidden

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Priority Code (if any)

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What would you use the loan funds for?

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SSN

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Business Phone

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Number of Square Feet

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Business Bank

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Your retail space

Own

Rent

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How long at current location

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Routing Number

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Account Number

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What is your primary business? (please describe)

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% Ownership

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Do you have a commercial lease?

Yes

No

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Monthly Rent or Mortgage Payment

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We welcome any additional comments and/or information you would like to provide in support fo your loan request:

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Confirmation

Confirm by typing your name and the date below.

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Name

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Date

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Name

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Date