Bold fields are required

Note – it is extremely important that you answer each and every question posed on this application – failure to do so will only delay processing. 

Resumes and or Bio's must be sent on key management personnel and those being held accountable for repayment. 

Percentage or Breakdown of Ownership 

Brief description of the company, years in business, type of business, view of current financial condition of company and who or what caused the company to be in its current position? 

Brief description of the company, years in business, type of business, view of current financial condition of company and who or what caused the company to be in its current position? 

Answer the following questions IF your project includes any land development, whether Large or small. 

zoning, master plan division, etc. Out Look for State, local town meetings, know the local politics involving property. 

For example- pre-sales, pre-leasing agreements, rentals. 

We are seeking Equity or Debt or Both and why? 

What forms of collateral will you be using? If none, how do you propose to minimize the risk to our investors?  

Enter your comments here! 

How much of your own money do you currently have at risk in association with this project? Can you provide documentation of the funds you personally invested?  

Enter your comments here! 

If you will use Real Estate as collateral, attach or email a current certified appraisal, maps, pictures, titles, etc. not more than six months old. 

Using Real Estate 1-Yes or 2-No 

What is your company's annual revenue? You will need to provide three (3) years of financials or personal tax returns on the applicant. 

List any third parties attached to your project that will be due a payment or commission 

Enter your comments here! 

List References (complete contact information) on your Banker, Accountant, and Attorney 

Enter your comments here! 

Do you understand that you will be obligated to pay a consulting/finder's fee (if and only if) our investor's decision is made to fund your project? This fee, seven percent (7%), will be due ONLY at the time your project is funded and paid at the time of closing 

No I do not acknowledge the fee 

Due Diligence fees are limited to $4,200 per day plus airfare and hotel for one person and are fully refunded to you at investment/loan closing. Due Diligence is normally completed in one day 

Complete Contact Information 

By clicking the Submit button you agreed to and acknowledge the following: This document is an agreement between you and Free Business Plans.org or its affiliates 437 FoxTract Rd., Bridgeport, NY 13030 Off: 315-633-9653. I would like to continue with the application process and authorize Free Business Plans.org to do so. By clicking the Submit button for our Venture Capital Investment, I certify that the information which I have provided, to the best of my knowledge, is true and correct, and to provide additional information as necessary to Free Business Plans.org. I also agree to pay for, per my signed agreement, any new business or services provide by Free Business Plans.org or its affiliates. 

YesNo