Pre-Qualify for Unsecured Financing INSTANTLY with a SOFT inquiry!

Event *

Referrer *

Legal Name *

Business Name (Only if Currently Active)

Address *

Address

City

State/Province

Zip/Postal

Cell Phone *

Email *

Date of Birth *

Credit Score *

Social Security Number *

Do you have any late payments in the past 12 months *

Yes

No

If Yes, How Many *

Do you have any unpaid collection accounts in past 2 years (Yes or No) *

Yes

No

If Yes, How Many *

Do you have more than 4 HARD inquiries in the past 6 months (Yes or No) *

Yes

No

Have you filed for Bankruptcy in the past 10 years (Yes or No) *

Yes

No

Do You Have A Credit Freeze On Your Credit File (Yes or No) *

Yes

No

Do you have at least one credit card with a limit of $1,500 with 1 year of history (Yes or No) *

Yes

No

Do You Have Over 4 Years of Credit History (Yes or No) *

Yes

No

How Many Years? *

List All Current Credit Cards Below

Lenders Name *

Card Balance *

Credit Limit *

Year Card Was Issued *

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Disclosure

In order to process your request, we need to obtain your consent to access your personal credit report. I am authorizing Sand Dollar Associates, Inc. & BizCredit, LLC to access your credit report for Business and/or Personal loan pre-qualification purposes. As a reminder, this is a 'soft' credit inquiry and will not negatively affect your credit report. Please confirm your authorization to access your credit report for pre-qualification purposes by Signing Below. Client’s electronic signature to this Authorization and electronic submission are governed by The Electronic Signatures Act (Public Law No 106-229).

Signature (Type Full Name) *

Date *

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