top of page
HOME
EIN CREDIT
BUSINESS FUNDING
ABOUT US
CONTACT US
FINANCING APP
Cortz
Meet With Us
First name
Last name
Email
Phone
Home Address
Company name
Social Security Number
Who is the business's primary market?
Business
Consumer
Estimated Gross Annual Revenue (Last 12 Months)
Estimated Net Profit (Last 12 Months)
Housing Status
Own (Paid Off)
Own (With Mortgage)
Rent
Other
Monthly Housing Payment
Birthday
Month
Month
Day
Year
Annual Income
Total Annual Household Income
Income Verification Type
Pay Stub (W2/Salary)
1099/Independent Contractor
Self Employed
Rental Property Income
Retirement/Pension Income
Disability Benefits
Requested Funding Amount
Purpose of Funding?
Additional Notes of Importance
Submit
HOME
EIN CREDIT
BUSINESS FUNDING
ABOUT US
CONTACT US
FINANCING APP
Cortz
bottom of page
