Business Funding | Official CoachKeem

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Business Funding Evaluation Form

If you're looking for funding of up to $50K+ in funding for your business, fill out the form below and someone from our team will be in contact with you shortly.

Get Funded Today

Please take a moment to fill out the form.

Full Name

Phone

Personal Credit Score (FICO)

300–579

580–669

670–739

740–799

800+

Do you have a perfect payment history?

Yes

Current Credit Card Utilization Rate (e.g., % of available credit used)

0–10%

11–30%

31–50%

51%+

Do you have any of the following on your credit report?

Late Payments

Collections

Charge-Offs

Bankruptcies

Judgments or Tax Liens

Are you currently an authorized user on someone else’s credit account?

Yes

Do you have any open installment loans (e.g., auto loans, personal loans, mortgages)?

Yes

Number of hard inquiries on your credit report in the past 12 months:

1–2

3–5

Do you already have a registered business?

Yes

Business Entity Type (if applicable):

Sole Proprietor

LLC

Corporation (C-Corp or S-Corp)

Extra cheese

Date Business Was Established (MM/YYYY):

Estimated Annual Revenue:

Less than $50,000

$50,000–$100,000

$100,000–$250,000

$250,000+

Do you have a business checking account?

Yes

Do you have a DUNS Number or Business Credit Profile?

Yes

Current Business Debts:

None

Less than $50,000

$50,000–$100,000

$100,000+

Type of Funding Needed:

Personal Credit Cards

Personal Loans

Business Lines of Credit

Business Credit Cards

Personal Guarantee Business Financing

How much funding are you looking to secure?

Less than $25,000

$25,000–$50,000

$50,000–$100,000

$100,000+

What will the funds be used for?

Start-Up Costs

Working Capital

Equipment Purchase

Marketing

Inventory

Other

Have you applied for any business or personal funding in the past 12 months?

Yes

Are you open to personally guaranteeing business financing products?

Yes

Do you currently work with any funding consultants or credit repair services?

Yes

2021 by CoachKeem Consulting LLC

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