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First Name
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Last Name
*
State/Region
Phone number
*
Email
*
HOW WOULD YOU LIKE TO BE CONTACTED?
*
Please Select
Phone
Email
Text
WHAT TYPE OF FUNDING ARE YOU LOOKING FOR
*
Please Select
TERM LOAN
BUSNIESS LINE OF CREDIT
BOTH
IS YOUR FUNDING FOR REAL ESTATE
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Please Select
YES
NO
FUNDING TIMELINE
*
Please Select
NOW
30-60 DAYS
60-90 DAYS
HOW MUCH FUNDING ARE YOU LOOKING FOR?
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US CITIZEN
*
Please Select
YES
NO
EMPLOYMENT INFORMATION
*
Please Select
W2 EMPLOYEE
SELF EMPLOYED
BOTH
ANNUAL INCOME
*
Please Select
25K - 40K
41K - 60K
61K - 80K
80K +
MONTHLY DEBT SHOWING ON CREDIT REPORT
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HAVE YOU OPENED ANY CREDIT CARDS OR TERM LOANS IN THE PAST 60 DAYS
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Please Select
YES
NO
DO YOU HAVE MORE THAN 2 CREDIT INQUIRIES IN THE PAST 60 DAYS?
*
Please Select
YES
NO
AVERAGE FICO FOR ALL 3 CREDIT BUREAUS
*
Please Select
700+
660-699
620-659
0-620
WE HAVE NO UPFRONT FEES. YOU UNDERSTAND THAT THIS IS UNSECURED CASH AND NOT TIED TO ANY ASSET. YOU WILL BE INVOICED A 12% SUCCESS FEE WHEN FUNDING IS COMPLETE. DO YOU AGREE TO THE SUCCESS FEE?
*
Please Select
YES
NO
WHO REFERRED YOU TO GAPBRIDGE LENDING
UPLOAD MOST RECENT PAYCHECK SUB
*
(If self employed most recent personal tax return)
MOST RECENT CREDIT REPORT
*
- Please upload your most recent credit report. You can obtain it by signing up for a 7-day trial at IdentityIQ, which costs only $1. If you don’t have access to your report.
DRIVER LICENSE OR ID
*
Valid Identification
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