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Inquiry
Please indicate what kind of financing you are interested in. (Check all that apply)
Term loan
Contract financing
Purchase Order Financing
Commercial Real Estate
Clean Energy Project Financing
What is the amount you are requesting? (Please provide an estimate if specific amount not yet known)
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*
Which options below best represent the intended use(s) of the financing? (Select all that apply).
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Have you applied for a loan from a bank for your business in the past?
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Yes, and at least one loan was received
Yes, but was declined
No, never applied
Select any of the following sources of capital that you have ever used to finance your business
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Please Explain
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Contact Information
First Name
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*
Last Name
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*
Preferred Pronoun (for example, he/him, she/her)
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Phone
*
*
Email
*
*
*
Business Information
What percent of the business do you own? (Enter number only. Do not include % sign.)
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*
*
Business Legal Name
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*
Business DBA, if different
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Business Website
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Business address
Business street address (home address if home-based)
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*
Suite / Apt number
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Floor
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County / Parish
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*
City
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*
State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Oklahoma
Oregon
Ohio
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
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*
FromPortal
Socio-Demographic Information
Gender
*
Female
Male
Non-Binary
Other
Unknown
Decline
Race
*
Black
White
Asian (Except South Asian)
South Asian
Native American or Alaska Native
Native Hawaiian or Other Pacific Islander
Mixed Race
Unknown
I decline to identify
If select Mixed Race, Please indicate any of the following that you identify with:
LGBTQ Status
*
LGBTQ
Not LGBTQ
Decline
Unknown
Immigration Generation
*
1st Generation (you were born in another country)
2nd Generation (you were born in the US but your parent(s) were not)
3rd Generation + (at minimum, you and your parent(s) born in the US)
Decline
Unknown
Hispanic Ethnicity
*
Hispanic
Not Hispanic
Decline
Unknown
Disability Status
*
Service-Disabled Veteran
Disabled
Not Disabled
Decline
Unknown
Military Status
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No military affiliation
Veteran/Retiree
Veteran or Military Retiree
Never a military member or spouse of military member
Veteran
Service-Disabled Veteran
Active-duty member
Reserve member
Reserve Member or National Guard Member
National Guard member
Military retiree
Spouse of a member of the military
Unknown
Other Information
Please describe your business in a few words:
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*
What month and year was your business legally formed? (__/____)
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*
Which years are you able to provide both business and personal tax returns? (Check all that apply)
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Approximately how much revenue did your business have last year?
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No revenue
<$200,000
$200,001-$500,000
$500,001 - $1,000,000
$1,000,001 to $5,000,000
$5,000,001+
How many years has your business been in operation?
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*
Is your business currently in operation?
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Is your business currently in operation?
No
Is your business currently in operation?
Yes
How did you hear about TruFund?
*
How did you hear about TruFund?
TruFund’s Website
How did you hear about TruFund?
Social Media
How did you hear about TruFund?
Online research
How did you hear about TruFund?
Word of mouth
How did you hear about TruFund?
Event
How did you hear about TruFund?
Organization
How did you hear about TruFund?
Other
Write in about Trufund hear
*
Are you currently working with a representative of TruFund?
*
Are you currently working with a representative of TruFund?
No
Are you currently working with a representative of TruFund?
Yes
Please select the name of the representative you are working with from the list below:
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