Blueprint Financing Pre-Qualification Form

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Welcome to Blueprint Financing

Welcome to Blueprint Financing

To Pre-qualify for funding, please complete this quick survey. Once completed, we will give you a call to explain the funding process and next steps!

Language

English (US)

1
Name* This field is required.Please enter your Full Name
First Name
Last Name
2
Personal Email* This field is required.Enter your Personal Email Address - we fund applicants based on a personal guarantee
example@example.com
Confirm Email
3
Personal Cell/Home Phone Number:* This field is required.Enter your Personal Phone Number - no Business/Office/Google Phone Numbers. US Only
Area Code
Phone Number
4
Date of Birth:Please enter your Date of Birth. Applicant must be over the age of 21, to apply for funding.
Date
Month
Day
Year
5
Are you a US Citizen?
YES
NO
6
Enter your credit scores for all 3 credit bureaus:* This field is required.Must enter all 3 scores
Transunion
Equifax
Experian
Credit Score
Credit Score
Transunion
Equifax
Experian
7
Select ALL NEW credit lines (If any), that have been opened in the last 6 months:
Credit Cards
Credit Card Limit Increase
Car Loan
Mortgage
Personal Loans
Refinance
Not Applicable
8
Number of inquiries on your credit report from the last 6 months:
9
Have you ever filed Bankruptcy?* This field is required.
YES
NO
10
If Yes to Bankruptcy, please select the DISCHARGE date
Date
Month
Day
Year
11
Select if you've had ANY of the following, reported in the last 2 years
Late Payments
Recent Collections
ANYTHING Derogatory Reporting
Not Applicable
12
What is your credit card utilization?
0 - 25%
26 - 50%
Above 51%
13
What's your employment status?* This field is required.Select One
Currently Employed
Retired
Disability Recipient
Self Employed
Unemployed
14
Which document do you use, in order to file taxes?
W2
1099 - Contractor
1099R - Retiree
SSA1099 - Disability
I don't receive either - I'm Self Employed
15
What were the wages on last year's w2/1099/1099R/SSA1099?* This field is required.Enter information from the 2019 filing season
16
What would you like to use the funding for?Select one
Business Use
Personal Use
Real Estate Investment
Other
17
What's the total amount of funding you need?Enter a Whole Dollar Amount. Amount should not exceed 2x your income.
18
Is there a particular day you need the funding by?Enter date below
19
How (or from who) did you learn about this funding opportunity?
Should be Empty:

Blueprint Financing Pre-Qualification Form

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