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If you are serious about applying for a business loan or would like to review your loan potential and options, please fill out and submit the following email contact form. If a question does not apply to your loan request, simply enter “N/A” in the field provided.

A Diamond Financial Services ( representative will contact you shortly.

First Name:
Last Name:
  Street Address:
  Home Phone:
Cell Phone:
  Business Phone:
Email Address:
  Best time to call:
Which Number:


Are you looking for a:
Loan   Lease

Have you Chosen a Franchise?
Yes   No

$ Amount of Loan or Lease Needed::

If yes, name of Franchise:

  How is your personal Credit?
Fair   Good   Excellent
Do you know what your credit score is?
  Have you had a bankruptcy within the last 10 years? Yes   No
  How much credit card debt, if any, do you have? $

  Current/latest occupation:
Current/latest job title:
Current/latest salary: $
  Would you still be retaining your current salary? Yes   No

  Do you own a home or other property? Yes   No
  How much equity is in your home(s)?
  Do you have a second household income? Yes   No

  Total approximate assets:
Total approximate liabilities:
  Total approximate liabilities:
What is your approximate net worth?
  Available cash to invest: $

  Are all your taxes current? (personal or business): Yes   No
  Have you applied for an SBA or Business Loan before? Yes   No
  Were you approved? Yes   No

  Are you a US citizen?
Yes   No
If no, do you have a green card?
Yes   No
  Have you ever been charged with, arrested or convicted of any criminal offense other than a minor vehicle violation? Yes   No

  Have you ever owned a business or franchise before? Yes   No
If yes, please explain:
  What is your timetable:

  Additional Comments:

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