Pre-Application New Client

Effective 9/28/2023

Applicant Pre-Application being considered for loans up to $50,000.
Primary Applicant*

First NameLast Name
Email Primary Applicant*
yourname@serviceprovider.com
Date of Birth*

MonthDayYear
Date
Personal Address*

Street Address

County

CityState / Province

Postal / Zip Code
Personal Phone*

Area CodePhone Number
If you do not currently reside in North Carolina, do you have plans to relocate here and when?
Have you operated a Business?*

YesNo
Do you have business partner(s)?*

YesNo
Secondary Applicant or Business Partner

First NameLast Name
Business/Partner/Alternate Phone

Area CodePhone Number
Name of Business*
Haven't picked a Name enter "N/A"
Location of Business

Street Address

County (Burke - Caldwell - McDowell etc.)

CityState

Zip Code
Description and Type of Business*
Attach More Information Below
Attach Other Information/Business Plan Summary/ Resume(s)

Upload a File
Limit 4 files Cancelof
Attach Other Information/Financial Projections/Expenses/Revenues
Limit 3 files
Purpose of Loan*
Money used for: Equipment, Up-Fitting Space, Working Capital, Other
Timeline for needing this loan?*

1-2 months3-4 months4-6 months6-12 months
Have you already been turned down by a lender (Bank, Other Lender, Credit Union)*
Enter Yes or No
If you answered YES above then please attach your correspondence(email, hand written note on lender letterhead) indicating a bank refusal for this loan request. If NO then please make this a priority in moving forward with your loan application.
Upload your file, or send us an email as soon as possible including your bank denial.
List Loans or Debts you currently have.
Do you have Collateral (Car, Property, House, etc.) to help support the Loan ?*

YesNo
Loan Amount*
Between $5,000 - $50,000
Estimate your Credit Score*
Minimum Score of 600 is Required
Have you had a Bankruptcy*
If yes type and filing date.
What other Finance Options do you have?

No OptionsBankCredit Card(s)Friends or FamilyOther Lender(s)Other
Are you a U.S. Citizen?*

YesNo
Are you a Veteran?*

YesNo
Demographics:

The following information is requested by the Federal Government for certain types of loans in order to monitor the lender's compliance and equal credit opportunity. You are not required to provide this information, but are encouraged to do so. The law requires a lender may neither discriminate on the basis of this information nor whether you choose to provide it. However, if you choose not to provide it, under Federal regulations, lenders are required to note race/ethnicity on the basis of visual observation or surname. If you do not wish to provide this information, please check the box below.
Demographics

I do not wish to give Demographics
Gender

MaleFemaleN/A
Enticity

Hispanic or LatinoNot Hispanic or Latino
Race

American Indian, Alaska NativeAsianBlack or African AmericanNative Hawaiian/Pacific IslanderWhite
VEDIC requires that you have your plan reviewed by a Small Business Center Director within the NC Community College System.
Please provide their name and phone number.
First Name Last Name Phone Number
VEDIC works closely with the the Small Business Center Network and the SBTDC in North Carolina. Working with a business consultant while not a requirement is highly advised when requesting funding. Consultations are Free. Many of our clients also contact their local Chamber of Commerce. Burke County Chamber of Commerce (828) 437-3021

Locate a Small Business Center or SBTDC

Request an appointment for free consultation with your preferred resource.
How did you hear about us?
Signature

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Effective 9/28/2023