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Carolina Small Business Sign Up Information

Last Updated:

2/8/2020 2

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Email Address

Password

Password, Confirm Password

Your Name

First Name, Last Name

Your Address

Home Address, City, State, County, Zipcode

Phone Number

Mobile Phone, Phone

Post-Registration Data

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This site does verify your email address.

Membership Emails

Below is a sample of the emails you can expect to receive when signed up to Carolina Small Business.

Your response to Loan Applicat...

Thank you. Your response to Loan Application has been saved.

You can resume this form at any time by going to https://www.tfaforms.com/forms/resume/438854.

IMPORTANT: Your submission is considered incomplete until you resume it and press the submit button.

Raw Data Registration Structure Registration Form Text

Registration

First name

Last name

Title

Password

Phone (mobile)

Phone

Home address

City

State

County

Zipcode

Password (confirm)

County

Please select...

Entity Type

Please select...

Please select... LLC S-Corporation C-Corporation Partnership Sole Proprietorship Non-Profit Corporation Tax Identification Type

Federal EIN Number

Social Security Number

Individual Tax ID Number (ITIN) Tax Identification Type

Social Security Number

Please select...

Please select... 111110 Soybean Farming 111120 Oilseed (except Soybean) Farming 111130 Dry Pea and Bean Farming 111140 Wheat Farming 111150 Corn Farming 111160 Rice Farming 111191 Oilseed and Grain Combination Farming 111199 All Other Grain Farming 111211 Potato Farming 111219 Other Vegetable (except Potato) and Melon Farming 111310 Orange Groves 111320 Citrus (except Orange) Groves 111331 Apple Orchards 111332 Grape Vineyards 111333 Strawberry Farming 111334 Berry (except

Yes

Please select...

Please select... Yes No Is this Business a Franchise?

Yes

Please select...

Primary Contact

True

Tax Identification Type

Social Security Number

Please select...

Are you the sole owner of the business?

Yes

enter number only, do not add % sign. This application will require information for any individual who owns at least 20% equity interest in the business. Do you have a Resume?

Yes

Please select...

THE TOTAL OF USES OF PROCEEDS MUST EQUAL TOTAL SOURCES OF CAPITAL. THIS NUMBER SHOULD EQUAL ZERO Collateral Do you have any business or personal assets available to pledge as collateral for the requested loan? Please include any assets you plan to purchase with the loan proceeds.

Yes

Please select...

Business Debt Does the business have any existing debt including mortgages, installment loans, revolving credit lines, equipment leases, factoring arrangements, seller notes, or any other contractual obligations?

Yes

Please select...

Please select... Yes No Does the business have any tax liens, or any past due taxes, or on any payment plans for past-due taxes?

Yes

Please select...

Tax Identification Type

Social Security Number

Please select...

Personal Assets What types of assets do you have? Check all that apply and then provide the current value of each asset in whole numbers without commas, periods or dollar signs ($).

Cash and Savings

Automobiles

Stocks/Bonds

Real Estate

Retirement Accounts

Notes Receivable

Cash Value of Life Insurance

This reflects the sum of all Liabilities Personal Liabilities What types of liabilities do you have? Check all that apply and then provide current balances owed in whole numbers without commas, periods or dollar signs ($). &nbs

Revolving Accounts

Auto Loans

Other Installment Loans

Loans Against Life Insurance

Student Loans

Unpaid Taxes

Other Liabilities

Mortgage

Please select...

File size limit: 20MB Do you have Financial Projections?

Yes

No Do you need assistance with Financial Projections?

Yes

Data Name	Data Type	Options
	Text Box
First name	Text Box
Last name	Text Box
Title	Text Box
Password	Text Box
Email	Text Box
Phone (mobile)	Text Box
Phone	Text Box
Home address	Text Box
City	Text Box
State	Text Box
County	Text Box
Zipcode	Text Box
Password (confirm)	Text Box
	checklist
	button
County	dropdown	Please select...
Entity Type	dropdown	Please select...
	option	Please select... LLC S-Corporation C-Corporation Partnership Sole Proprietorship Non-Profit Corporation Tax Identification Type
	option	Federal EIN Number
	option	Social Security Number
	option	Individual Tax ID Number (ITIN) Tax Identification Type
	option	Social Security Number
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	option	Please select... 111110 Soybean Farming 111120 Oilseed (except Soybean) Farming 111130 Dry Pea and Bean Farming 111140 Wheat Farming 111150 Corn Farming 111160 Rice Farming 111191 Oilseed and Grain Combination Farming 111199 All Other Grain Farming 111211 Potato Farming 111219 Other Vegetable (except Potato) and Melon Farming 111310 Orange Groves 111320 Citrus (except Orange) Groves 111331 Apple Orchards 111332 Grape Vineyards 111333 Strawberry Farming 111334 Berry (except
	option	Yes
	dropdown	Please select...
	option	Please select... Yes No Is this Business a Franchise?
	option	Yes
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	checklist	Primary Contact
	checklist	True
	option	Tax Identification Type
	option	Social Security Number
	dropdown	Please select...
	option	Are you the sole owner of the business?
	option	Yes
	option	Enter number only, do not add % sign. This application will require information for any individual who owns at least 20% equity interest in the business. Do you have a Resume?
	option	Yes
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	option	THE TOTAL OF USES OF PROCEEDS MUST EQUAL TOTAL SOURCES OF CAPITAL. THIS NUMBER SHOULD EQUAL ZERO Collateral Do you have any business or personal assets available to pledge as collateral for the requested loan? Please include any assets you plan to purchase with the loan proceeds.
	option	Yes
	dropdown	Please select...
	option	Business Debt Does the business have any existing debt including mortgages, installment loans, revolving credit lines, equipment leases, factoring arrangements, seller notes, or any other contractual obligations?
	option	Yes
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	option	Please select... Yes No Does the business have any tax liens, or any past due taxes, or on any payment plans for past-due taxes?
	option	Yes
	dropdown	Please select...
	option	Tax Identification Type
	option	Social Security Number
	dropdown	Please select...
	checklist	Personal Assets What types of assets do you have? Check all that apply and then provide the current value of each asset in whole numbers without commas, periods or dollar signs ($).
	checklist	Cash and Savings
	checklist	Automobiles
	checklist	Stocks/Bonds
	checklist	Real Estate
	checklist	Retirement Accounts
	checklist	Notes Receivable
	checklist	Cash Value of Life Insurance
	checklist	This reflects the sum of all Liabilities Personal Liabilities What types of liabilities do you have? Check all that apply and then provide current balances owed in whole numbers without commas, periods or dollar signs ($). &nbs
	checklist	Revolving Accounts
	checklist	Auto Loans
	checklist	Other Installment Loans
	checklist	Loans Against Life Insurance
	checklist	Student Loans
	checklist	Unpaid Taxes
	checklist	Other Liabilities
	checklist	Mortgage
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	dropdown	Please select...
	file
	file
	file
	file
	file
	file
	option	File size limit: 20MB Do you have Financial Projections?
	option	Yes
	option	No Do you need assistance with Financial Projections?
	option	Yes
	file
	file
	file
	file
	file
	file
	file
	file
	file
	file
	file
	file
	file