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Microloan Application Sample Questions <br />Business Owner name Industry <br />Home Address Description of business <br />How many years have you lived there? Years of Experience <br />Business Name Requested Loan Amount <br />Business Email Purpose of funds <br />Business Website Tax ID/SS# <br />Business Cell Phone Birthdate of owner <br />Ownership/Legal Structure Driver’s License Number and State <br />Where do you conduct business? Do you have a separate business checking? <br />How many days/hours is your business open? Do you have an existing merchant cash advance? <br />When did you begin business operations? Have you received business coaching? <br /> <br />Business Location <br />Business Street Address When did you start at this location? <br />Business Mailing Address Do you own your business location? <br /> <br />Business Income <br />Total Sales per month Type of financial records kept? <br />Amount of monthly sales in credit cards <br /> <br />Business Expenses <br />Total expenses per month Utilities <br />Cost of Goods Sold Payments to credit cards, car loans, other <br />Business rent/mortgage Other major expenses: insurance, phone <br />Payroll (besides yourself) <br /> <br />Business Assets & Liabilities <br />List of main business assets List of main liabilities <br />Total business asset value Total liabilities <br /> <br />Personal Monthly Income <br />Monthly take-home from business Other sources of income <br />Owners income from other employment Personal bank account <br />Spouses Income <br /> <br />Personal Expenses <br />Food Credit Card Payments <br />Clothing Vehicle Payments <br />Utilities Mortgage or Rent <br />Education/Childcare Child Support/Alimony Payments <br /> <br />Social Impact <br />Number of Employees Marital Status <br />New Jobs/Retained Jobs in the next 2 years Years of Education <br />Are you a veteran? Number of people in your household <br />Gender Any credit issues you would like to disclose? <br />Race <br />