FundingDistrict.com
Buyer Pre-Qualification Form

Please use this form for business acquisition requests only.

If you are seeking to finance equipment, please use one of our Equipment Applications. 

Note:  Our minimum transaction size for SBA loans is $500,000.

Please fill out all pertinent information

First Name:
Last Name:
Email Address:
Address One:
Address Two:
City:
State:
ZipCode:
Phone:
1.) What is your business interest?
2.) Do you have experience in business that you are seeking?
Yes
No

If yes – please state your experience level.
3.) What is your current credit score?
4.) What is your education level?


If Other, Please Explain:
5.) Current Household Income
6.) Estimated net worth. Net worth = Assets – Liabilities.
 $
7.) Estimated cash available for down payment.
$
8.) Where is the down payment coming from: (i.e. Equity, savings, retirement, gift). Be specific using dollar amounts and descriptions.
9.) Do you own any real estate?
Yes
No
10.) Total equity dollar amount you have in all real estate owned (please give detailed information)
11.) Have you ever filed for bankruptcy?
Yes
No

If yes, date of the discharge month/year
12.) Have you ever been convicted of a felony or DUI?
Yes
No
13.) Are you currently employed and where?
14.) How long have you worked there?
15.) Give a brief work history for the last 10 years (give titles, duties, description, etc).
16.) Are you involved with any non-compete agreements?
Yes
No

17.) Are you currently in any negotiations with a potential seller to acquire a business?
Yes
No

If yes, please explain in detail the specifics of the potential purchase?
18.) Are you considering purchase of a business outside a 100 mile radius of your current residence?
Yes
No
19.) Will you actively participate in the business?
Yes
No
20.) Are there partners involved?
21.) When do you need financing?
22.) Are you a U.S. Citizen?
Yes
No
23.) Have you ever been self-employed?
24.) Estimated annual total living expenses? (please give annual dollar amount).
$
25.) Estimated total credit card amount currently owed? (please give dollar amount).
$
26.) Other General Information: