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Pre-Qualification Form
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Home
Small Business Loans
Business Cash Advance
Credit Card Processing
APPLY NOW
Pre-Qualification Form
Apply Now For Working Capital
Please, complete the form a Customer Service Representative will contact you in 24 hours or
Call: (310)445-5743
*
Indicates required field
Name of person filling application
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Name of the Sales Rep. working with you?
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What is the name of Orbit Financial Services Sales Rep. ?
Exact Legal Company Name
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Website
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Doing Business As (DBA)
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Federal Tax ID
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Select Company Type (Corp., LLC, etc.)
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Corporation
LLC
Other Company type
Business Type (Select One)
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Automotive Services - Tires & Services
Medical & Healthcare Services
Restaurants
Hair salons
Laundry & Dry cleaning
Liquor Stores
Convenient Stores
Trucking
Ice Cream Shops
Vape Retail Businesses
Other Retail Business
Date Business Started
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Physical Address of the business
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Line 1
Line 2
City
State
Zip Code
Country
Bill Address if not same as above
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Line 1
Line 2
City
State
Zip Code
Country
Name of Landlord
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Landlord Ph. No.
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Email Address
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Business Information
Gross Annual Income
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Amount of Working Capital Desired
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What will you use the money for?
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Desired Term (6, 12, or 24 months)
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How much is your current cash advance & with whom?
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Upload 3 months Bank Statements (A single PDF file, OR use additional upload tools below)
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Max file size: 20MB
If your 3 months Bank Statements are combined in a single PDF file, then you are OK. Otherwise, please, use additional upload tools below for each single PDF file.
Upload another Month Bank Statement
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Max file size: 20MB
Use this upload if the three bank statements are not in a single PDF file in the above upload tool(s).
Upload another Month Bank Statement
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Max file size: 20MB
Upload 1 Month Credit Card Processing Statement
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Max file size: 20MB
Use this upload if the three bank statements are not in a single PDF file in the above upload tool(s).
Personal Profile
What is your % ownership in the business?
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First & Last Name
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First
Last
Date of Birth
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SS# (Soft pull ONLY - Will not effect your credit score)
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Home Address (No P.O Box)
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Line 1
Line 2
City
State
Zip Code
Country
Do You Rent or Own
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Personal Annual Income
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Please provide any additional comments
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When you click
SUBMIT
below you are hereby agreeing and accepting to provide all of the above information online that may be considered by you and shareholders of your company to be confidential or personal including credit reports.
Alternatively, you can fill out this PDF
Pre-Qualification Form
and eMail to:
Apply@OrbitFinancialServices.com
Submit
Home
Small Business Loans
Business Cash Advance
Credit Card Processing
APPLY NOW
Pre-Qualification Form