EmailMe Form - Impeccable Funding

Name *

First Last

Email *

Phone *

### - ### - ####

Are you a U.S. citizen? *

Yes

No

What state do you live in? *

Date of Birth *

MM / DD / YYYY

What amount of funding are you requesting? (We fund $10,000 - $500,000) *

Purpose of Loan? *

When do you need the money? *

MM / DD / YYYY

What is your credit score? *

Do you have any personal credit open in the last 6 months? *

Yes

No

Have you had any hard inquiries in the last 6 months? *

Yes

No

Do you have a minimum of 3 established trade lines that are at least 6 months old? *

Yes

No

Have you ever filed for Bankruptcy? *

Yes

No

If you have filed for Bankruptcy has it been discharged for 2 years or more?

Yes

No

Do you have any negative items reporting on your credit report in the last 2 years?
(Judgement, Child Support, Late Payments, Collections, Bankruptcy, Evictions, Medical Bill, Foreclosure, Charge-offs, Pre-Foreclosure) *

Yes

No

Are your credit card balances 60% or less? * *

Yes

No

Are you employed or self-employed?

Are you earning a minimum of 50,000 a year?

Yes

No

If you believe that you do not meet one or more of our credit criteria we can still help.

Our exclusive mentorship program, "I Will Master Plan", allows our lenders to tell you exactly what you'll need to correct on your credit in order to receive max funding. There is an upfront investment for $1500 for those who do not meet our credit criteria but need our help. Are you open to learning more about this program? *

How did you hear about us? *

If a referral what is the name?