Were you referred by a FP BROKER ? (IF YES , type Broker Name or ID # )
    How much funding do you need?
    What will the funds be used for?
    Has the Business and/or any principal ever defaulted on a Loan?
    Is the Business and/or any principal involved in any litigation?
    Has the business and/or any principal ever filed for bankruptcy?
    What service do you need?
    Our consulting fees ranges from $1500 to $5000 depending on your project goals,
    Are you willing to invest that to move your business forward ?
    The undersigned specifically acknowledges and agrees that FundingPrep, including its Funding Partners, and assigns, (“Lender”) will rely on the information contained in and provided in connection with this application and all such information is given for the purposes of obtaining a business loan indicated above. The undersigned certifies that the information provided in and given in connection with this application is true and correct as of the date set forth opposite the signature(s) on this application. The undersigned acknowledges that any intentional or negligent misrepresentations of such information may result in civil liability and/or criminal penalties including, but not limited to, fine or imprisonment or both, and liability for monetary damages to the Lender and any other person or entity who may suffer any loss due to reliance upon any misrepresentation which have been made in connection with this information.

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