Franchsie Tiger

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 (FranchiseTiger.com) representative will contact you shortly.

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

	Have you Chosen a Franchise? Yes No	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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