Full Application | LoansApproval.com

Step 1 of 4

Personal Information

Tell us about yourself — the primary contact for this application.

👤 Applicant Details

First Name *

Last Name *

Title / Role *

Ownership % *

Email Address *

Phone Number *

Best Time to Call

How Did You Hear About Us?

Step 2 of 4

Business Information

Help us understand your business structure and history.

🏢 Business Profile

Legal Business Name *

DBA (if applicable)

EIN / Tax ID *

Entity Type *

Business Street Address *

City *

State *

ZIP *

Industry *

Years in Business *

Number of Employees

Step 3 of 4

Debt Details

List all current business debts. More detail = stronger negotiation strategy.

💳 Types of Debt

Select All That Apply

🏢 Lender Details

Add each lender separately. Used for attorney negotiations.

Lender Name	Debt Type	Balance (\$)	Status

TOTAL DEBT:		\$0

⚠️ Hardship Information

Current Payment Status

Hardship Reasons (Select All That Apply)

Describe Your Hardship (Optional)

More detail helps our attorneys build a stronger negotiation case.

Prior Restructure Attempts?

Active Legal Actions Against Your Business?

Step 4 of 4 — Final Step

Business Financials

This information helps build the strongest possible case with your creditors.

📊 Monthly Financials

Avg Monthly Revenue *

Average gross monthly revenue over the last 3 months

Avg Monthly Expenses

Total monthly operating expenses

Net Monthly Cash Flow

Revenue minus expenses. Can be negative.

Total Monthly Debt Payments

Combined total of all debt payments per month

💬 Additional Comments

📋 Certification

By submitting this application, I certify that all information provided is accurate and complete. I authorize LoansApproval.com and its attorney partners to review this application and contact me. This is a confidential consultation with no obligation to proceed.

I certify all information is accurate and consent to being contacted regarding this application.

✅

Application Received!

Your full application has been securely submitted and is now in our CRM. A member of our attorney-led team will reach out within 2 business hours.

⏰️

Response TimeAn attorney will contact you within 2 business hours

🔒

ConfidentialYour information is protected and never sold or shared

📋

Next StepGather your last 3 months of bank statements for your consultation call

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No ObligationThis consultation is 100% free. You decide how to proceed.

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