Please check yes or no to each of the following questions as these are designed to guide you and us through a selection process:

Name:
Company Name:
Phone:
Email:
	Do the principal owners (20%+) each have a FICO credit score of 680 or greater?YesNo
	Have any of the principal owners ever filed for bankruptcy or compromised their debts? YesNo
	Are any lawsuits, judgments or executions pending against any principal or the company? YesNo
	Has any principal defaulted on a federally insured loan (e.g. student loan)?YesNo
	Are any of the principals presently under indictment, on parole or probation?YesNo
	Do any of the principals have a less than honorable discharge from the US Armed Forces?YesNo
	Does the company or any principal have unpaid federal or state taxes?YesNo
	Does the company currently have a US Small Business Administration loan?YesNo
	Does the company have current financial statements (balance sheet & profit & loss statement)? YesNo
	Are the financial statements prepared by a public accountant?YesNo
	Does the company have aged reports on accounts receivable and payable?YesNo
	Does the company have a current list of major assets including patents? YesNo
	Does the company have a current business plan and detailed outline of financing needed? YesNo