State Business Capital (SBC) - SBA, USDA and Conventional Small Business Loans

Thank you for your interest in our SBA, USDA and Conventional small business loan programs

Please complete this express pre-application form and submit to us. We will determine loan feasibility and an SBC representative will be in contact with you shortly. We suggest that you print this form prior to filling it out so that you can collect necessary information before you begin. We know this form is detailed, but this is the information necessary to determine your loan qualifications, so please be diligent. A formal loan application packet will be sent to you if your pre-application meets the requirements needed to continue with the loan process. If you do not meet our requirements, we may recommend other alternatives.

We share information submitted to us with those we represent and only in accordance with strict internal security standards, confidentiality policies and applicable laws. We do not share client information with other companies except in order to conduct our business, to comply with applicable law, and to protect against fraud. For privacy and security reasons all information that you submit to us is stored in our corporate computer files which are offline and only accessible to SBC. No additional documents are required at this time and no credit reports are pulled at this stage.

In addition to having proper business qualifications, ability to pay the loan, good credit rating, proper experience and collateral, people seeking loans for their businesses must complete all applicable fields in this pre-application. When we consider pre-applications, we want the businessperson to present us with all the applicable fields in the form. This is all salient information a lender needs to evaluate a loan applicant. Frequently, the person seeking a loan neglects to give the lender all the information required, yet the lender must know your goals and what you plan to do with the money. Too many pre-applications are incomplete, fields are left blank, etc. That makes a lender wonder if the person would run his business in a sloppy way, too. Make sure that you complete all the necessary fields if you want this form to be evaluated.

The information you provide on this form will remain confidential
You may rest assured that all information provided via this form and/or
via our conversations will be kept in the strictest of confidence.

*ALL FIELDS MUST BE COMPLETED unless the field does not apply to your situation.
Incomplete forms WILL NOT be responded to or considered for FREE evaluation.
(No additional documents are required at this time)

Contact Name:
Project Name:
Street Address:
City:
State:
Zip Code:
Phone Number:	Business#Cell#Home#
Best Time to Call: (*please select the best hours for your time zone)
Other Time To Call:
Best Days to Call:	Mon Tue Wed Thu Fri Sat
Fax Number:
E-mail Address:
Repeat E-mail Address:

YOU MUST ENTER A VALID E-MAIL ADDRESS TO OBTAIN A REPLY!

Ever pre-applied with SBC in the past? No Yes Don't know

LOAN REQUEST:

Which loan programs
are you requesting:

Who Will Operate the Business:
Number of Principals That Own 20% or More of the Company:
Type of Financing:
Business Type:
Industry:
Name of Franchise
Years in Business: (if applicable)

USE OF LOAN PROCEEDS:

Do you presently rent/own the property described in
your loan request? (Existing Business Only)rent   own
...If renting, lease term expires on what date?
...If owned, what is appraised value?         $
...If owned, what is total lien amount?             $

Will you rent/purchase the property
described in your loan request? rent purchase
...If renting, least term expires on what date?

Type Real Estate:

Real Estate Purchase:	$
Construction & Improvements:	$
Machinery & Equipment:	$
Inventory:	$
Accounts Receivable:	$
Accounts Payable Reduction:	$
Debt Refinancing:	$
Working Capital:	$
Other (explain in box below):	$

Total Project Cost:--	$

Owner's Equity: ---------- (Existing Owner Business Only)	$(Minimum 10% of above Project Cost-- 10% Tangible Balance Sheet Equity)
(less) Down Payment:: --- (Start-Up / Acquisition Only)	$(Minimum 20-30% of above Project Cost depending on credit and additional collateral)
Source of Injection: ------
(less) Other Financing: ---	$
Total Loan Request: (Total Project Cost (less) Down --- Payment / Other Financing)	$

Planned use of loan proceeds (e.g. purchase real estate, buy business, pay-down debt, purchase capital goods or equipment):

PROPOSED COLLATERAL TO BE PLEDGED

Collateral is required on any leasehold project where real estate is not a part of the business collateral. This includes items such as CD's, stocks, bonds, notes receivable secured by real estate, extra guarantors, and any combination of the above. Inventory, furniture, fixtures, or equipment in the business will be included collateral for the loan.

REAL ESTATE COLLATERAL:
(Your home, 2nd home, or investment property. DO NOT include the business real estate or assets of the business included in the loan)

Property Information:	Property 1 - Property 2 - Property 3
Acquisition Date:
Cost:	$ $ $
Market Value:	$ $ $
1st Lien:	$ $ $
2nd Lien:	$ $ $
Describe Real Estate Collateral:
Describe other collateral: (CD's, stocks, bonds, notes receivable secured by real estate, extra guarantors)

Asset Based:

Please list assets: (equipment, accounts receivables, inventory, etc.), cost basis, and estimated market value:

EXISTING BUSINESS - (Please complete this section)

Last Year Profitable?	yes no
Cash flow data: (if available)	$ (last fiscal year)

CREDIT HISTORY

Good Credit History? yes no

If your answer was no, please list any known credit impairment:

List your Credit Score
here, if you know it: (Middle of three, lower of two)

LIFE INSURANCE - (May be required for loan)

Are you able to obtain Life Insurance? yes no don't know

If your answer was no, please explain:

DESCRIPTION OF BUSINESS

Provide brief description of your business.
What product or service do you/will you provide?
Who are/will be your customers/clients/patients?
What are your plans for your business?

HAVE YOU APPLIED ELSEWHERE

Have you applied elsewhere? yes no

If yes, have you been declined? yes no

If you have been declined, please explain:

COMMENTS

Please note any comments you may have here:

Please tell us how you came to SBC: Which
search engine did you use; AOL, Yahoo, MSN, (other)?
If recommended, by who?

Thank you for providing your information.

Please click the "Submit" Button ONE TIME ONLY !!!
and then be patient while the form completes its processing.

SECURE & CONFIDENTIAL
Your email address will never be rented, traded or sold.
We guarantee your confidentiality

Privacy Statement

1. We do not sell or transact business of any kind on-line. Our only contact with you will be a response to our forms completed by you. We do not collect e-mail addresses, and therefore cannot sell them or any personal information, nor do we use a third party to manage our e-mail information.

2. State Business Capital does not sell or knowingly transmit information to other sources. Any e-mail inquiries or information collected from this website will be used solely for communication purposes and will not be added to any opt in mailing lists or sold to any third party.