Small Business Financing That' Fast & Easy

Welcome to Altius Financing Online Application

Business Legal Name

Business DAB (if applicable)

Business Phone

Other Phone

Website

Business Address

City

State

Zip

Legal Entity

Business Start Date

Federal Tax ID (EIN)

State of Inc/LLC

Home Base Business

Open Judgements/Liens?

Open Bankruptcies?

Rent/Lease/Mortgage

OWNER FIRST NAME

OWNER LAST NAME

Title

% Ownership

CO-OWNER FIRST NAME

CO-OWNER LAST NAME

Title

% Ownership

How much do you need?

When Are Funds Needed

Why are you seeking funding?

What type of business do you own?

Previous Year Gross Annual Sales

YTD Gross Monthly Sales (average)

Message