Borrower Info
|
| Name |
Ujith Algewatta |
| Borrower Email |
Ujith Algewatta |
| Home Phone |
Ujith Algewatta |
| Cell Phone |
Ujith Algewatta |
| Cell Carrier |
Ujith Algewatta |
| Preffered Commiunication |
Ujith Algewatta |
| Is there a Co-borrower? |
Ujith Algewatta |
|
| Work Phone |
Ujith Algewatta |
| Address |
Ujith Algewatta |
| City |
Ujith Algewatta |
| State |
Ujith Algewatta |
| Zip |
Ujith Algewatta |
| Country |
Ujith Algewatta |
| Length of time at the present property |
Ujith Algewatta |
|
|
Has the borrower resided at the present address for less than two years? Yes
|
| Previous Address |
Yes |
| Previous City |
Yes |
| Previous State |
Yes |
|
| Previous Zip Code |
Yes |
| Length of time at the previous property |
Yes |
| Rent or Own |
Yes |
|
Mailing Address
|
| Mailing Address |
Yes |
| Mailing City |
Yes |
|
| Mailing State |
Yes |
| Mailing Zip Code |
Yes |
|
Personal Info
|
| Date Of Birth |
Yes |
| Social Security Number |
Yes |
| Marital Status? |
Yes |
| Citizenship |
Yes |
| Did you ever serve, OR are currently serving IN the United States Armed Forces? Yes |
|
| Driver License State |
Yes |
| Driver License Number |
Yes |
| Credit Score Range |
Yes |
|
Business Entity
General Business Info
|
| Entity Name |
Yes |
| Date Of Formation |
Yes |
| Time in Business |
Yes |
|
| Entity Type |
Yes |
| Website Address |
Yes |
|
Business Address
|
|
|
|
Business Details
|
| Do you have Business Reference(s)? |
| Business Reference Name |
Yes |
| Phone |
Yes |
| Email |
Yes |
|
|
Business Financials
|
| Gross Annual Revenues $ |
Yes |
| Net Income Last Year |
Yes |
| Net Income 2 years Ago |
Yes |
| Has business ever filed for bankruptcy? Yes |
|
| Gross Income Last Year |
Yes |
| Gross Income 2 years ago |
Yes |
| Average Bank Balance |
Yes |
|
Members/Officers
|
| Name |
Title |
% ownership |
Address |
Phone |
Cell |
SSN |
Email |
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|
Borrower Background
|
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Are you a U.S. Citizen? Yes
|
|
|
|
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Has the borrower been declared bankrupt within the past 7 years? Yes
|
| Status of Personal Bankruptcy |
Yes |
| Please provide filing date, current status, properties included, etc... |
|
|
Are there any outstanding judgments against the borrowers?
|
|
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Is the borrower presently delinquent or in any default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee
|
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Have you ever been convicted of a felony or other fraud related crimes?
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Assets
|
| Type |
Estimated Value ($) |
Amount Owed ($) |
| Savings/Money Market/ CDs |
0
|
|
| Stocks/Bonds |
0
|
|
| IRA / Keogh Accounts |
0
|
|
| 401k / ESOP Accounts |
0
|
|
| Life Insurance -- Cash Surrender Value Only |
0
|
|
| Secondary Residences |
0
|
0
|
| Other Real Estate |
0
|
0
|
| Other Assets |
0
|
|
| Other Assets Details |
0
|
| Total: |
$ 0.00 |
$ 0.00 |
| Total Est. Value: |
- Total Amt Owed |
= Total Net Worth |
| $ 0.00 |
- $ 0.00 |
= $ 0.00 |
|
Borrower Employment Information
|
| Employer Address |
Yes |
| Employer Phone |
Yes |
|
| Please explain if employment history is less than 2 years |
Yes |
| Years employed in this line of work / profession |
Yes |
|
Borrower Monthly Income
|
| Base Employment Income |
Yes |
| Overtime |
Yes |
| Dividends / Interest |
Yes |
| Partnership / Subchapter S Income |
Yes |
|
| Commission/Bonus |
Yes |
| Net Rental |
Yes |
| Capital Gains / (Losses) |
Yes |
| Other |
Yes |
|
| Total |
$89 |
Collateral
|
| Name |
Market Value |
Total Debt/Liens |
Valuation Date |
Description |
| sds |
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|
VENDOR & EQUIPMENT INFORMATION
|
| Name |
Phone |
Contact |
Equipment Type |
Vin or Serial Number |
Year |
Price |
Make |
Model |
Quantity |
Mileage |
Equipment Description |
| sds |
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|
Additional Questions
|
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Do you have invoices to factor? Yes
|
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|
|
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Do you have a current loan/advance balance? Yes
|
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|
|
Desired Funding Amount - 34
|
|
Will borrower personally guarantee this loan? Yes
|
|
Use Of Funds - 23
|
Tell us more about your scenario & what you are looking for in more detail
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|
name
2023/06/12
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