FDG
Financial
FAST TRACK Application Process!

No Waiting!
24 TO 48 HOUR
NOTIFICATION ON MOST PROJECTS!

At FDG we understand the time value of money. We work with several alternative
lending institutions throughout the U.S. and several international banks that share
our philosophy for professional timely service. Our experience allows us to quickly
evaluate your request and get back to you on how we can best work together
on your project.

All Boxes are Required Fields
Please put N/A on all Non Applicable Fields
Contact Person:
Title:
Company Name:
Address:
Address:
City:
Country:
State:
Zip Code:
Fed Tax ID #:
D & B Number:
SIC or NAICS Number:
Phone Number:
Fax Number:
Cell Number:*
Web Site:
Email Address:*
Use of Proceeds
Land Acquisition:
New Construction:
Expansion/Repair:
Acquisition and/or Repair
of machinery & Equipment:
Inventory Purchase:
Working Capital (inc Accts Payable:
Acquisition of Existing Business:
Pay Off Existing Loan:
Other:
TOTAL FUNDING REQUEST:
Business Indebtedness:
[Furnish all outstanding Installment Debts, Contracts, Notes, Mortgages Payable,
Etc.] Please Include all of the following information in your text.

Account Name     Acct#        Original         Present         Monthly        Current
                              Amt               Balance         Payment       Yes/No
Number of Years In Business:
Number of Full TIme Employees:
Last Three Years Sales History:
2007
 2008
 2009
Last Three Years Profit or (Loss):
2007
 2008
 2009
Next Three Years Sales Forecast:
2011
 2012
 2013
Please Check When You Need Project Funded
30 Days
 60 Days
 90 Days
 6 Months
 1 Year
Please Check Whether Your Project Is Domestic or International
Domestic (USA)
 International
 Both
Have you been turned down for a Domestic Loan?
 Yes
 No
Have you been turned down for an International Loan?
 Yes
 No
Have you ever been rejected for SBA financing?
 Yes
 No
Please Provide Bank and Financial Company you have contacted:
Do you agree?
 I have read and agreed to the FDG Confidentiality Agreement.
If you fail to check this box FDG will not be able to process
your loan application until this is completed