SBA BOLT Pre-Qualification Form

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Please fill out the form below and one of our specialists will reach out to you regarding your inquiry. Please allow 24 – 48 hours for a response. We take customer service very seriously and your business is important to us.

SBA Bolt Pre-Qualification

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Legal Business Name(Required)

DBA Name (if applicable)(Required)

If you operate under a business name that differs from the legal business name, enter the name here.

Loan Amount Requested*(Required)

Number of Employees(Required)

Business Structure(Required)

Business Industry(Required)

Check the box if your business is a franchise

This is a franchise

This is NOT a franchise

Does your business operate out of your home?

Check the box if your business is home-based.

Tax ID Number(Required)

Must be 9 digits.

Date Business Established(Required)

State(s) of Incorporation(Required)

Business Street Address 1

Street Address Business Street Address 2 Business City Business State Business Zip Code Country

Business Phone Number(Required)

What is the combined fair market value of the business assets?(Required)

Enter dollar amount

The Bolt loan provides working capital proceeds. The SBA requires lenders to identify how the working capital will be utilized by the business:

Use of Proceeds (Provide dollar amount where applicable): Combined total must not exceed requested loan amount

Payroll/Hiring/Recruiting Expenses

Marketing Expenses

Supplies

Accounts Payable

Operational Expenses

The BOLT loan proceeds are for working capital needs only. Working capital does not include equipment purchases or debt refinancing. Proceeds for these expenses would require an SBA loan outside of the BOLT loan parameters and therefore may require additional documentation and processing time.

Does the business entity (or an affiliated real estate holding company) own the property where the business is located?(Required)

Does the business or any of the owners/principals have a controlling interest in any other businesses?(Required)

Is this business or are any of the business affiliates involved in any pending litigation?(Required)

Does the business or any of its owners have any outstanding judgment or tax liens?(Required)

Does the business or any of its owners have any outstanding tax liabilities?(Required)

Tell Us About the Business Ownership:

How many 20% or more owners/principals are there in the business?(Required)

(If more than one owner, please make sure to complete the additional owners section)

Provide a brief description of the management team, time under current management, and depth of industry experience(Required)

Primary Business Owner's Name(Required)

First Last

Professional Title of Primary Business Owner(Required)

Applicant Type(Required)

Primary Owner/Principal Ownership Percentage(Required)

Is this owner/principal a U.S. Citizen or Legal Permanent Resident?(Required)

Contact information for this owner/principal:

Phone number(Required)

Email(Required)

Primary Owner Home Street Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Owner DOB(Required)

Primary Owner SSN(Required)

Does this owner/principal have more than $75,000 in credit card debt?(Required)

Has this owner/principal filed for bankruptcy or foreclosure in the past 3 years?(Required)

For any criminal offense – other than minor vehicle – has this owner/principal ever been convicted; plead guilty; plead nolo contendere; placed on pretrial diversion; or placed on any form of parole or probation?(Required)

Additional Information

Complete the below for any additional owners/principals that own 20% or more of the business:

Business Owner #2 First Name

Business Owner #3 First Name

Business Owner #4 First Name

Business Owner #5 First Name

Upload Documents:

Driver's License(Required)

Upload a color copy of the owner's driver's license

Max. file size: 128 MB.

Year 1 Business Tax Return(Required)

Upload the most recent filed business federal tax return

Max. file size: 128 MB.

Year 2 Business Tax Return(Required)

Upload the 2nd most recent filed business federal tax return

Max. file size: 128 MB.

Most Recent Personal Federal Tax Return(Required)

Upload the most recent filed personal tax return

Max. file size: 128 MB.

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