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Allen Family Network- Business Funding Application

👤 PERSONAL INFORMATION

Date of Birth
Month
Day
Year
Do you Rent or Own?
Rent
Own
Monthly Housing Payment: $
$

📁 BUSINESS INFORMATION

Entity Type:
Date Business Started:
Month
Day
Year

💰 FINANCIAL SNAPSHOT

Yearly Personal Income (Before Taxes):
$
Combined Household Income (Before Taxes): $
$
Do You Have Existing Business Credit Cards?
Yes
No
Any Bankruptcies or Collections in the Last 2 Years?
Yes
No
Do You Plan To Buy a Home, Car, or Use Your Personal Credit for Anything Major This Year?
Yes
No
Type of income:
W-2
1099
Both
None

🏦 BANK RELATIONSHIPS

(Helps us prioritize high-approval banks)

Do You Bank With Any of These? (Check all that apply):

📩 CARD DELIVERY PREFERENCE

Single choice
Use home address above
Use business address
Other

📜 REQUIRED DOCUMENTS

Multi choice

💳 CHOOSE YOUR PAYMENT OPTION

Select one:
Pay in Full — $3,500 upfront ($3,500 covers setup and execution. A 4% fee is only due after each successful funding round.)
Pay on the Back End – You only pay once funding is secured: Round 1: $3,500 + 6% (to keep utilization low) Round 2: Must begin within 90 days → Remaining 6% from Round 1 + 12% of Round 2 approvals Round 3: 12% of approvals Round 4: 12% of approvals
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