Business Loan Inquiry Form
Legal Name of Business Applying for a Loan
NOTE: Don't submit this form more than once. To resume your application, contact 614-484-7075.
First Name
Last Name
Email
Phone
Relationship to Business
Director, Member, Sole Proprietor, etc.
Gender
-None-
Female
Male
Non-Binary
Prefer Not to Disclose
Did Not Disclose
Race
American Indian or Alaska Native
Asian American
Black or African American
Latin American
Native Hawaiian or Other Pacific Islander
Other
White or Caucasian American
Mailing Street
Mailing City
Mailing Zip
Company Type
-None-
Sole Proprietor/1099
Sole Proprietor w/DBA
Limited Liability Company
Partnership
Corporation
Non-Profit Corporation
S-Corporation
Other
Industry
-None-
Agriculture
Arts, Entertainment, and Recreation
Business Services
Construction
Consumer Services
Finance and Insurance
Food Service
Healthcare
Logistics & Warehousing
Manufacturing
Medical
Other
Professional Services
Real Estate
Retail
Service - Professional, Scientific, Technical
Transportation
Description of Business
Include information such as the product or service offered and your target customer.
Does the business engage in any illicit activity?
-None-
Yes
No
Has the business started operations?
-None-
Yes
No
Date Formally Established
Annual Revenue
How much funding are you requesting?
How will your business will use the funds?
Provide a summary of how your business will use the loan funds:.
Do you need any business support services?
Accounting
Consulting
Legal
Marketing
Other
None
All of the Above
Hold ctrl when clicking to select multiple options.
Captcha
↻
Reload
Mailing State