First Name *
Last Name *
Company Name *
Work Phone *
E-Mail *
Address 1 *
City *
State/Province *
Postal Code *
How can the Paris SBDC help your small business?
Describe your business and the products/services that you offer.
How much debt does your company currently have (bank loans, lines of credit, equipment loans, credit cards, etc.)?
What are your monthly payments on the debt?
Are you needing more capital for your business?YesNo
How much money do you have available to invest in the business?
Do you have any collateral (real estate, inventory, equipment, vehicle, CDs, stock)?YesNo
What were revenues and profit/loss for last year?
Please estimate current year sales.
What is your current salary from the business?
Does your current salary meet your needs and lifestyle?YesNo
Marital StatusSingleMarried
Do you have a current copy of your credit report? (if “Yes,” please bring it to your initial meeting)YesNo
What is your current credit score?
What is your current annual household income?
Which legal structure are you considering for the business (choose only one)?Sole ProprietorshipPartnershipCorporationLimited Liability Company (LLC)Limited Partnership (LP)Note sure/Need advice
Do you have a current personal financial statement? (if "Yes", please bring it to your initial meeting)YesNo
Do you have a business plan? (if "Yes", please bring it to your initial meeting)YesNo
Do you own or lease the property on which your business is located? I own the property my business currently occupiesI Lease the property my business currently occupiesI want to buy the property my business currently occupiesI want to buy another/additional propertyI want to lease another/additional propertyother
Do you have a CPA or accountant?YesNo
Do you have a lawyer?YesNo
Do you have employees?YesNo
Employee count (If yes above)
Have you filed for bankruptcy within the past ten years?YesNo
