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1) Please tell us about your business loan or acquisition financing request in detail.

2) If this is a BUSINESS REFINANCING, please answer the following questions:
- What are your Company's current financing arrangements.
- What is your bank credit line?
- Are you being asked to leave the bank?
- When does your credit facility expire?

3) If this is a BUSINESS REFINANCING, please answer the following additional questions:
- What are your Company's current financials?
- Are you making or losing money?
- What are your assets and liabilities?
- What is your net worth?
- How would you like to structure this transaction?

4) If this is an ACQUISITION FINANCING, please answer the following questions:
- Why do you want to buy this company?
- How much cash are you coming in with to purchase the company?
- Which lenders have seen or are reviewing the deal?
- Which lenders have declined the deal?
- What is your experience in this industry?

5) If this is an ACQUISITION FINANCING, please answer the following additional questions:
- What is your net worth?
- Do you have the company's balance sheets and income statements?
- Is this company making or losing money?
- What are the company's assets and liabilities?
- How does the seller want to structure the sale?
- How would you like to structure this transaction?

Loan Amount:

Location:

Financing:

First Name

Last Name

Company Name

Years In Business

Job Title

Address

City

State

Zip/Postal Code

Primary Phone

Secondary Phone

Fax

Email

We will contact you within 24 hours. Thank you.

We do not arrange loans for companies outside the U.S. and we do not provide start-up or venture capital.

All information is confidential.

Please submit your inquiry with this secure Information Form.

Premiere Lender
220 Newport Center Drive, Suite #11-144
Newport Beach, CA 92660
1. 800. 348. 4212

James@PremiereLender.com

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