Pre-Approval Questionnaire Name * First Name Last Name Email * Business Name * State of Formation * Phone * (###) ### #### Gross Revenues (Last Tax Return) * Line 1a Tax Return $ Cost Of Goods (Last Tax Return) * Line 2 on Tax Return $ Expenses/Deductions (Last Tax Return) * Line 21 on Tax Return $ Thank you! We will be in contact with you shortly of how much you can qualify for!