Pre-Qualification Form

Nor-Cal FDC requests that you please complete and submit this pre-qualification form. Upon receipt and review of this form, Nor-Cal FDC will contact you with the outcome.

Borrower Name:
Business Name:
Business Type:
Contact Address:
Contact Phone:
Email:

1.	Do you have a current business plan?	yes no
2.	Do you have a current marketing plan?	yes no
3.	Do you currently have a banking or lending partner?	yes no
	If yes, please provide name:
4.	What is your personal credit score?
5.	How will you use the proceeds of the loan?
6.	Do you have any prior business ownership experience?	yes no
	If yes, how long?
7.	What loan amount are you requesting?	$5,000 - $25,000 $25,000 or more
8.	Loans over $25,000 typically require collateral. Do you have available collateral to support your loan request?	yes no