Contact Information I am the...
Please select... Primary Applicant Business Partner of Applicant Note: At least one person must complete this questionnaire as the Primary Applicant. Marital status:
Please select... Married Single Note: We ask this question solely for legal and tax purposes.
The federal government does not always treat registered domestic partners the same as spouses for legal or tax purposes. Will your spouse be a guarantor on the loan?
Please select... Yes No Note: Adding your spouse as a guarantor is most often a benefit to the loan application. Do you know the business or franchise you will be starting, buying, or expanding?
Please select... Yes No Note: You must know the specific business to move forward with Guidant’s SBA loan service. Loan Request
Estimated total cost of the business:
Provide the amount of money from each source you and any business partners will contribute to the business. Enter 0 if not applicable.
Non-Retirement Stock/Bonds/Mutual Funds
How much have you spent toward the business to date? This is an estimate based on the numbers you provided above.
Total Project Cost:
Down Payment Percentage:
Loan Amount: Income and Expenses Employment Please select... I am keeping my current employment I am leaving my current employment I am not currently employed
Your annual gross income (include detail for base salary, bonus, etc): After loan closing, your income will: Please select... Increase Decrease Stay the same Spousal Employment Please select... They will keep their current employment They will leave their current employment They are not currently employed
Spousal gross annual income (include detail for base salary, bonus, etc) : After loan closing, your spouse’s income will: Please select... Increase Decrease Stay the same Provide details surrounding the change in income post loan funding: Do you own or rent your primary residence? Please select... Own Rent
Monthly rent payment:
Total monthly household expenses: Eligibility Does your spouse have ownership in any other businesses? Please select... Yes No Do you have ownership in any other businesses? Please select... Yes No Provide the name of the business(es), ownership percentage, and a brief description of what the business does. Are you a veteran? Please select... Yes No Is your spouse a veteran? Please select... Yes No Provide details surrounding the charge including date, sentence, and whether misdemeanor or felony: Provide details including type of credit delinquency, date, and reason for non-payment: Have you ever defaulted on any federally backed loan programs? Please select... Yes No Has your spouse ever defaulted on any federally backed loan programs? Please select... Yes No Provide details regarding loss to the government including date, amount, and type of loan: Are you involved in any pending litigation? Please select... Yes No Is your spouse involved in any pending litigation? Please select... Yes No Provide details around pending lawsuit including type, timeline for resolution, and expected result: Do you currently owe any back taxes, alimony, or child support? Please select... Yes No Does your spouse currently owe any back taxes, alimony, or child support? Please select... Yes No Provide details around amount, timeline for repayment, and whether or there is a payment plan : Business Purchase Information
Business purchase price: How was the purchase price determined? What is the seller’s reason for selling? Does the purchase price include real estate? Please select... Yes No
What is the value of the real estate? Is the seller open to any amount of seller financing? Please select... Yes No Provide more details around the seller financing options: How is the business being sold? Please select... Asset sale (most common) Stock sale (less common) Is there a website for the business? Please select... Yes No Will you retain all employees? Please select... Yes No Provide the role(s) you will eliminate, salaries, and identify who will take over their responsibilities. Any other changes to the business income or expenses you would expect once you purchase the business? Please select... Yes No Please describe or attach a list of addbacks and/or projections.