Company Name:    

Street Name:         

Town:      County:       Postal Code:   

Telephone:         Mobile Phone: 

Fax:                     E-mail: 

Start-up           Existing Business          Years in Business 

Sole Proprietorship          Partnership          Corporatio


Amount of Financing Requested: 

Purpose of Financing:

            Franchise Purchase          Equipment Financing         Start-up Financing 

            Working Capital          Receivable Financing          Factoring         Property Finance 


Briefly Describe purpose of Financing:  

Personal Guarantees Available:    Yes          No 

Credit History of Owner:    Excellent          Satisfactory         Poor

Credit History of Company:    Excellent     Satisfactory          Poor

If a Business Purchase:    Purchase Price 

Cash Invested by Buyer 

Total Business Assets

Total Business Liabilities 

Total Business Net Worth 

Company's Annual Revenue 

Company's Annual Net Profit 

How did you hear about this website? 

J&J  will use this information to identify potential lenders.  The information you provide will be subject to verification prior to loan funding.  All information provided by you will be kept strictly confidential and be delivered in a secure method to a lender.
Copyright 2006 J&J Finance Ltd. All rights reserved.