Apply for Business Funding – Quick & Easy Prequalification

Powered by ITM Enterprise – Business Funding Division

Apply once. Prequalify for multiple funding options.

Business Information

Legal Business Name

DBA

if any

Address

Business Address

City

State

Country

Postal code

Website

Business Phone Number

Business Email

Date Business Established

State of Incorporation

Business Structure

Industry Type

Describe Products/Services Offered

Monthly Rent/Mortgage:

$

Own or Lease Location?

Own

Lease

Home-Based

Number of Locations

Landlord/Mortgage Contact

$

if applicable

Ownership & Executive Team

Owner/Principal #1 Name

Owner/Principal #1 Date of Birth

Owner/Principal #1 SSN

Last 4

Owner/Principal #1 Ownership %

Owner/Principal #1 Phone

Owner/Principal #1 Email

Owner/Principal #1 Driver’s License

Have Owner/Principal #1 filed for bankruptcy?

Owner/Principal #1 bankruptcy Date and status

Owner/Partner #2

if applicable

Add Owner/Partner #2 *

Owner/Principal #2 Name

Owner/Principal #2 Date of Birth

Owner/Principal #2 SSN

Last 4

Owner/Principal #2 Ownership %

Owner/Principal #2 Phone

Owner/Principal #2 Email

Owner/Principal #2 Driver’s License

Have Owner/Principal #2 filed for bankruptcy?

Owner/Principal #2 bankruptcy Date and status

Business Financial Snapshot

Last Year’s Gross Revenue:

$

Average Monthly Revenue (last 6 months)

$

Average Monthly Business Expenses

$

Average Monthly Deposits

$

Average Daily Balance

$

Number of Monthly Bank Deposits

Number of of NSFs Last 90 Days

Do you have a business checking account?

Do you have a business credit card?

Current Funding Profile

Do you currently have any loans or advances?

Lender

Type of Loan

(MCA, Term Loan, LOC, etc.)

Loan Original Amount

$

Balance Owed

$

Monthly Loan Payment

$

Loan Due Date

Have you taken a Merchant Cash Advance before?

Do you have any tax liens, judgments, or UCC filings?

Are you on any payment plans (IRS, vendor, etc.)?

Payment amount for payment plans?

$

Credit & Fundability

Your Personal Credit Score Range

Business Credit Established?

Do you have at least 3 Net30 trade lines reporting?

Have you ever been denied funding before?

Reason for denied funding (if known)

Optional — Additional Insights

What’s your PEAK revenue month?

$

What’s your LOWEST revenue month?

$

Are you a seasonal business?

Authorization

By signing below, I authorize ITM Enterprise and its funding partners to review my credit and business information in order to present funding options. I understand this may include a soft credit pull and business underwriting.

Signature *

Clear

Date *

Copyrights 2025 | ITM Enterprise | Terms & Conditions