Interest & Contact Form

Please fill out this form so we can better understand your needs and the programs you’re interested in. Once you’ve completed the form, you’ll be able to download our workbook and eBook for free.

Personal Information

First Name *

Last Name *

Phone *

Email *

Date Of Birth *

What type of funding are applying for? *

Personal Funding

Business Funding

Business Information

Business Name

Business Type

LLC

Sole Proprietor

Corporation

Other (Please specify):

Time in business

Funding Details

Funding Amount *

Purpose of Funding *

Startup

Expansion

Working Capital

Equipment

Others:

Monthly Revenue *

Recent credit score: *

Equifax
Experian
TransUnion

Do you have any late payments in the last 2 years

Yes

Any Open Loans or Lines of Credit *

yes

Please confirm you can provide the following documents upon request:

Three most current months of business bank statements

Three most current months of personal bank statements

Last two years of business and/or personal tax returns (if needed)

Supporting Documents (check if available): *

Bank Statements (last 3 months)

Business License

EIN Letter

ID Copy

I hereby authorize Solid Ground Solutions and its funding partners to obtain, verify, and review any personal or business information necessary to process my funding application. This may include credit reports, business financial data, and other relevant documents.

I understand that this authorization does not guarantee approval or funding and that all information provided is true and complete to the best of my knowledge.

Signature *

Clear

Date signed and submitted *