Do you prequalify for a small-business loan?

Is your business located in the San Francisco Bay Area?
The service area includes the nine Bay Area counties: Alameda, Contra Costa, Marin, Napa, San Francisco, San Mateo, Santa Clara, Solano and Sonoma.
YesNo

Business Information

Business Name*

Business Industry*
If Other, please specify:

Ownership Type*

Time in Business (Full Operations)*

Business Contact Information

Street* City*
County*
State* ZIP

Applicant Information

First Name*
Middle Name
Last Name*
SSN/ITIN DOB*

Current Home Address
Street*
City* County*
State* ZIP*
Phone* Email*

Financial Information

Have you had any bankruptcies, foreclosures or tax liens in the past 24 months? YesNo

Has your business been profitable for the past year? YesNo

Are there additional partners/owners of the business? YesNo

Are there additional sources of income in the household? YesNo

Do you keep your personal and business finances separate?
YesNo

List all assets to be used as collateral*:

Loan Request Details

Requested Loan Amount*
Use of funds (provide as much detail as possible)*:

* I/We declare that all of the information furnished in the application form is true, correct and complete and current in all respects. I/We have not withheld any information. I/We confirm that I/we have had neither insolvency proceedings initiated against me/us nor have I/we been adjudicated insolvent within the five-year period preceding the date of this application. I/We also authorize Adelante Fund to perform a credit check, which may include obtaining consumer and/or commercial credit reports. I/we further authorize Adelante Fund to exchange, share, and part with all information relating to my/our loan details and repayment history information with other lenders, creditors, and credit bureaus/agencies from time to time, as authorized by law. The release of all of this information by Adelante Fund, in any manner, is hereby authorized whether such information is of record or not and I hereby release Adelante Fund and all persons, agencies, firms, companies, agents, contractors, etc. from all damages resulting from such information. I/We undertake to inform Adelante Fund regarding any change in my/our residence/employment/occupation/business and to provide any other information that Adelante Fund may require. I/We further agree that my/our loan shall be governed by the rules of Adelante Fund which may be in force from time to time. I FURTHER DECLARE THAT THERE IS NO LITIGATION AGAINST THE BUSINESS IN WHICH I AM AN OWNER, PARTNER, OFFICER OR DIRECTOR. I understand that Adelante Fund will retain this application whether the loan is approved or denied and that I can appeal Adelante Fund’s decision if the loan is denied.

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