BUSINESS LOAN

"SEE ATTACHED" IS NOT AN ACCEPTABLE ANSWER. ALL FIELDS MUST BE COMPLETE. Submissions that state “See Attached” or have missing information will be considered incomplete and applicant will be required to re-submit the form. Enter all amounts in $USD.

Briefly describe what the borrowing company does:(Required)

How much capital is being requested?(Required)

Breakdown the use of the loan proceeds: ("See Attachment" is not an acceptable answer.)(Required)

Year company began:(Required)

All 3 Personal Credit Scores of the Principals (Equifax, Experian and TransUnion)(Required)

Equifax, Experian and TransUnion

Total Accounts Receivable now:(Required)

Accounts Receivable over 90 days old:(Required)

Total Accounts Payable over 90 days old:(Required)

Approximately how much are you billing per month?(Required)

Credit terms extended:(Required)

30 Days, etc.

What % of sales are performed under contract with progress billing?(Required)

What % of customer base is outside U.S.A?(Required)

What is the current company net worth?(Required)

Estimate the liquidation value of Inventory (excluding work in progress):(Required)

Estimate the liquidation value of Equipment:(Required)

furniture and telephone/computer equipment is not acceptable collateral

If the equipment has been appraised, for how much?

If no appraisal, leave blank

Date of Appraisal

If no appraisal, leave blank

Type of Appraisal:

Appraised/Estimated value of business owned Real Estate:(Required)

Estimated value of any other business assets:(Required)

Total secured debt (including mortgage) against company now:(Required)

Monthly payment now on secured debt:(Required)

2023 Revenue:(Required)

2023 Net Income:(Required)

2022 Revenue:(Required)

2022 Net Income:(Required)

2021 Revenue:(Required)

2021 Net Income:(Required)

This year's projected sales volume:(Required)

Amount of backlogged orders now:(Required)

If making money, for how many consecutive months?

if not making money, enter 0

If so, when does the accounting year end?

What type of statement?

Who does the company typically sell products/services to?(Required)

Additional Comments, if any:

Optional File Upload

ALL QUESTIONS MUST BE ANSWERED Submissions that state “See Attached” or have missing information will be considered incomplete and applicant will be required to re-submit the form.

Resumes

Max. file size: 5 MB.

3 Years Company Financial Statements

Max. file size: 5 MB.

Personal Net Worth Statement (PNW)

Max. file size: 5 MB.

Real Estate Owned Schedule (REO)

Max. file size: 5 MB.

Other

Max. file size: 5 MB.

Detailed Budget

Max. file size: 5 MB.

Signature

Phone:(Required)

Email:(Required)

Confirm

Referral Information (if applicable)

Email of person who referred you to us:

Account Executive (if applicable)

If you have been assigned an Account Executive (other than the person who referred you), please enter their email here.

BUSINESS LOAN

Optional File Upload

Signature

Referral Information (if applicable)

Account Executive (if applicable)

Taharrka Financial

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