Business Loan — Credit Application

Complete the form below to begin your business loan application. All information is kept strictly confidential.

Principal / Owner Information

First Name*

Last Name*

Email Address*

Phone Number*

Date of Birth*

Social Security Number*

Home Address*

City*

State*

ZIP Code*

Ownership Percentage (%)*

Estimated Credit Score

Business Information

Legal Business Name*

DBA (if applicable)

EIN / Tax ID*

Date Business Formed*

Business Entity Type*

Industry Type*

Business Address*

City*

State*

ZIP Code*

Business Website

Number of Employees

All Owners / Members (20%+ Ownership)

List all individuals or entities with 20% or greater ownership interest. Each owner with 20%+ will be required to personally guarantee.

Owner 1

Full Legal Name

Ownership %

SSN / Tax ID

Financial Information

Current Annual Revenue ($)*

Average Monthly Revenue ($)

Average Monthly Expenses ($)

Business Bank Balance ($)

Existing Business Debt ($)

Any Bankruptcies or Judgments?

Loan Request

Loan Amount Requested ($)*

Use of Funds*

Additional Details About Your Request

Document Upload

Please upload supporting documents such as government-issued ID, 3–6 months of business bank statements, most recent tax returns, profit & loss statement, or any other relevant financial documents. Accepted formats: PDF, JPG, PNG, DOC, DOCX. Max 10MB per file.

Upload Documents

Authorization & Consent

Credit Authorization & Consent to Verify Information

By submitting this application, I/we hereby authorize Visions Capital Alliance and/or its affiliates, subsidiaries, partners, and designated agents to obtain a consumer credit report and/or business credit report in connection with this loan application. I/we further authorize Visions Capital Alliance and/or its affiliates to verify any and all information provided in this application, including but not limited to business financials, employment history, income, assets, liabilities, and ownership information, through any lawful means deemed necessary.

I/we understand that this authorization will remain in effect for the duration of the loan application process and any subsequent loan servicing relationship. I/we certify that all information provided in this application is true, accurate, and complete to the best of my/our knowledge. I/we acknowledge that any misrepresentation or omission of material facts may result in the denial of this application or termination of any loan agreement.

This authorization is given voluntarily and may be used by Visions Capital Alliance or its affiliates for the purpose of evaluating this credit application only.

I agree — I have read and understand the above authorization. I consent to Visions Capital Alliance and/or its affiliates pulling my credit report and verifying the information provided in this application. *

Full Legal Name (Electronic Signature)*

Date*