Full Name *

Phone *

Email *

Funding Readiness

Q1. Is your credit profile currently funding ready? *

Yes — 680+ Credit Score with No Negative Items

No — Credit Score Below 680 and/or Negative Items Present

Applicants not currently funding ready may qualify for our credit repair & funding preparation program.

Business Information

Q2. Business Structure *

Q3. What state is your business incorporated in presently? *

Q4. State Your Business' Incorporation Date *

Revenue Information

Current Monthly Revenue

Q5. What is Your Current Revenue Monthly *

Select an option

Select Which Applies

Funding Goals

Q6. How much funding are you looking for? *

$10,000

$20,000 – $50,000

$100,000 – $250,000

More than $250,000

Q7. How Soon Do You Need Funding? *

Immediately

1–3 months

3–6 months

Not really sure

Funding History

Q8. Have you ever obtained business funding ever? *

Select an option

Q9.Do you currently have any open MCA (Merchant Cash Advance) accounts? *

Select an option

If yes, please explain more

Additional Notes

Please share any details about your Funding Goals here:

By submitting this inquiry form, you authorize Maximus Financial Group to contact you regarding business funding options and related services.

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