{"id":1131,"date":"2023-05-10T21:14:58","date_gmt":"2023-05-10T21:14:58","guid":{"rendered":"https:\/\/web.link2newsite.com\/abidfawc\/leycapitalnd016\/?page_id=1131"},"modified":"2023-05-10T21:14:58","modified_gmt":"2023-05-10T21:14:58","slug":"apply-now-form-8","status":"publish","type":"page","link":"https:\/\/web.link2newsite.com\/abidfawc\/leycapitalnd016\/lending-company-apply-now\/apply-now-form-8","title":{"rendered":"Apply Now Form"},"content":{"rendered":"<div class=\"wp-form\">\n<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-1132\"><form id=\"wpforms-form-1132\" class=\"wpforms-validate wpforms-form\" data-formid=\"1132\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/abidfawc\/leycapitalnd016\/wp-json\/wp\/v2\/pages\/1131?wpforms_form_id=1132\"><div class=\"wpforms-field-container\"><div id=\"wpforms-1132-field_48-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-one-half wpforms-first wpforms-conditional-trigger\" data-field-id=\"48\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_48\">Who is submitting this application? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1132-field_48\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1132-field_48_1\" name=\"wpforms[fields][48][]\" value=\"Borrower\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1132-field_48_1\">Borrower<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-1132-field_48_2\" name=\"wpforms[fields][48][]\" value=\"Broker\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1132-field_48_2\">Broker<\/label><\/li><\/ul><\/div><div id=\"wpforms-1132-field_4-container\" class=\"wpforms-field wpforms-field-select wpforms-one-half\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_4\">How did you hear about LEY Capital?<\/label><select name=\"wpforms[fields][4]\" id=\"wpforms-1132-field_4\" class=\"wpforms-field-large\" ><option value=\"\" ><\/option><option value=\"I&#039;m Already a Client\" >I&#039;m Already a Client<\/option><option value=\"FitSmallBusiness.com\" >FitSmallBusiness.com<\/option><option value=\"Superbcrew.com\" >Superbcrew.com<\/option><option value=\"Global Training Seminar\" >Global Training Seminar<\/option><option value=\"Scotsman Guide\" >Scotsman Guide<\/option><option value=\"Press Release\" >Press Release<\/option><option value=\"Other\" >Other<\/option><option value=\"deBanked\" >deBanked<\/option><option value=\"Facebook\" >Facebook<\/option><option value=\"Referral\" >Referral<\/option><option value=\"Crittenden\" >Crittenden<\/option><option value=\"TopTenReviews.com\" >TopTenReviews.com<\/option><option value=\"RealAtom\" >RealAtom<\/option><option value=\"RapidAdvance\" >RapidAdvance<\/option><option value=\"SmartBiz\" >SmartBiz<\/option><\/select><\/div><div id=\"wpforms-1132-field_41-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"41\"><h3 id=\"wpforms-1132-field_41\" name=\"wpforms[fields][41]\">Broker Information<\/h3><\/div><div id=\"wpforms-1132-field_42-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"42\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_42\">Broker&#039;s Full Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1132-field_42\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][42]\" required><\/div><div id=\"wpforms-1132-field_43-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"43\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_43\">Broker&#039;s Company Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1132-field_43\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][43]\" required><\/div><div id=\"wpforms-1132-field_44-container\" class=\"wpforms-field wpforms-field-email wpforms-one-half wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"44\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_44\">Broker&#039;s Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1132-field_44\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][44]\" required><\/div><div id=\"wpforms-1132-field_45-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-half wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"45\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_45\">Broker&#039;s Phone # <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-1132-field_45\" class=\"wpforms-field-large wpforms-field-required wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" name=\"wpforms[fields][45]\" required><\/div><div id=\"wpforms-1132-field_36-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"36\"><h3 id=\"wpforms-1132-field_36\" name=\"wpforms[fields][36]\">Borrower Contact Information<\/h3><\/div><div id=\"wpforms-1132-field_37-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_37\">Borrower&#039;s Full Name  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1132-field_37\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][37]\" required><\/div><div id=\"wpforms-1132-field_38-container\" class=\"wpforms-field wpforms-field-email wpforms-one-half\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_38\">Borrower&#039;s Email  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1132-field_38\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][38]\" required><\/div><div id=\"wpforms-1132-field_39-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-half wpforms-first\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_39\">Borrower&#039;s Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-1132-field_39\" class=\"wpforms-field-large wpforms-field-required wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" name=\"wpforms[fields][39]\" required><\/div><div id=\"wpforms-1132-field_9-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"9\"><h3 id=\"wpforms-1132-field_9\" name=\"wpforms[fields][9]\">Borrower Business Information<\/h3><\/div><div id=\"wpforms-1132-field_10-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_10\">Borrower&#039;s Legal Business Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1132-field_10\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][10]\" required><\/div><div id=\"wpforms-1132-field_11-container\" class=\"wpforms-field wpforms-field-address wpforms-one-half\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_11\">Business Location Address <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-1132-field_11\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][11][address1]\" required><label for=\"wpforms-1132-field_11\" class=\"wpforms-field-sublabel after \">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-1132-field_11-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][11][city]\" required><label for=\"wpforms-1132-field_11-city\" class=\"wpforms-field-sublabel after \">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-1132-field_11-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][11][state]\" required><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >District of Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawaii<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Louisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\" >Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >Michigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Mississippi<\/option><option value=\"MO\" >Missouri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >New Hampshire<\/option><option value=\"NJ\" >New Jersey<\/option><option value=\"NM\" >New Mexico<\/option><option value=\"NY\" >New York<\/option><option value=\"NC\" >North Carolina<\/option><option value=\"ND\" >North Dakota<\/option><option value=\"OH\" >Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oregon<\/option><option value=\"PA\" >Pennsylvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >South Carolina<\/option><option value=\"SD\" >South Dakota<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >West Virginia<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-1132-field_11-state\" class=\"wpforms-field-sublabel after \">State<\/label><\/div><\/div><\/div><div id=\"wpforms-1132-field_12-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_12\">Borrower&#039;s Business Type <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1132-field_12\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][12]\" required><\/div><div id=\"wpforms-1132-field_13-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_13\">Borrower&#039;s Business Website (if applicable)<\/label><input type=\"text\" id=\"wpforms-1132-field_13\" class=\"wpforms-field-large\" name=\"wpforms[fields][13]\" ><\/div><div id=\"wpforms-1132-field_14-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-first\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_14\">Borrower&#039;s Business Start Date <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1132-field_14\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-large\" data-date-format=\"m\/d\/Y\" name=\"wpforms[fields][14][date]\" required><\/div><div id=\"wpforms-1132-field_15-container\" class=\"wpforms-field wpforms-field-select wpforms-one-half\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_15\">Business Location Ownership <span class=\"wpforms-required-label\">*<\/span><\/label><select name=\"wpforms[fields][15]\" id=\"wpforms-1132-field_15\" class=\"wpforms-field-large wpforms-field-required\"  required><option value=\"\" ><\/option><option value=\"Owned\" >Owned<\/option><option value=\"Rented\" >Rented<\/option><option value=\"Being Purchased with This Loan\" >Being Purchased with This Loan<\/option><\/select><\/div><div id=\"wpforms-1132-field_16-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"16\"><h3 id=\"wpforms-1132-field_16\" name=\"wpforms[fields][16]\">Loan \/ Credit Information<\/h3><\/div><div id=\"wpforms-1132-field_17-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half wpforms-first\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_17\">Loan Amount Requested <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"[0-9]*\" id=\"wpforms-1132-field_17\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][17]\" required><\/div><div id=\"wpforms-1132-field_20-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_20\">Amount of Debt to be Consolidated <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"[0-9]*\" id=\"wpforms-1132-field_20\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][20]\" required><\/div><div id=\"wpforms-1132-field_18-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-one-half wpforms-first\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_18\">Loan Purpose<\/label><ul id=\"wpforms-1132-field_18\"><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-1132-field_18_10\" name=\"wpforms[fields][18][]\" value=\"Personal Loan\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1132-field_18_10\">Personal Loan<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-1132-field_18_11\" name=\"wpforms[fields][18][]\" value=\"Small Business Loan\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1132-field_18_11\">Small Business Loan<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-1132-field_18_12\" name=\"wpforms[fields][18][]\" value=\"Commercial Loan\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1132-field_18_12\">Commercial Loan<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-1132-field_18_13\" name=\"wpforms[fields][18][]\" value=\"Church Loan\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1132-field_18_13\">Church Loan<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-1132-field_18_14\" name=\"wpforms[fields][18][]\" value=\"SBA Loan\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1132-field_18_14\">SBA Loan<\/label><\/li><li class=\"choice-15 depth-1\"><input type=\"checkbox\" id=\"wpforms-1132-field_18_15\" name=\"wpforms[fields][18][]\" value=\"Merchant Loan\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1132-field_18_15\">Merchant Loan<\/label><\/li><li class=\"choice-16 depth-1\"><input type=\"checkbox\" id=\"wpforms-1132-field_18_16\" name=\"wpforms[fields][18][]\" value=\"Equipment Loan\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1132-field_18_16\">Equipment Loan<\/label><\/li><li class=\"choice-17 depth-1\"><input type=\"checkbox\" id=\"wpforms-1132-field_18_17\" name=\"wpforms[fields][18][]\" value=\"Construction Loan\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1132-field_18_17\">Construction Loan<\/label><\/li><\/ul><\/div><div id=\"wpforms-1132-field_19-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_19\">Mortgage Balance Owed on Property <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"[0-9]*\" id=\"wpforms-1132-field_19\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][19]\" required><\/div><div id=\"wpforms-1132-field_22-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_22\">Type of Property to be Refinanced <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1132-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" required><\/div><div id=\"wpforms-1132-field_23-container\" class=\"wpforms-field wpforms-field-address wpforms-one-half\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_23\">Address of Property to be Refinanced <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-1132-field_23\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][23][address1]\" required><label for=\"wpforms-1132-field_23\" class=\"wpforms-field-sublabel after \">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-1132-field_23-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][23][city]\" required><label for=\"wpforms-1132-field_23-city\" class=\"wpforms-field-sublabel after \">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-1132-field_23-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][23][state]\" required><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >District of Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawaii<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Louisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\" >Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >Michigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Mississippi<\/option><option value=\"MO\" >Missouri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >New Hampshire<\/option><option value=\"NJ\" >New Jersey<\/option><option value=\"NM\" >New Mexico<\/option><option value=\"NY\" >New York<\/option><option value=\"NC\" >North Carolina<\/option><option value=\"ND\" >North Dakota<\/option><option value=\"OH\" >Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oregon<\/option><option value=\"PA\" >Pennsylvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >South Carolina<\/option><option value=\"SD\" >South Dakota<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >West Virginia<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-1132-field_23-state\" class=\"wpforms-field-sublabel after \">State<\/label><\/div><\/div><\/div><div id=\"wpforms-1132-field_46-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half wpforms-first\" data-field-id=\"46\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_46\">Real Estate Purchase Price <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"[0-9]*\" id=\"wpforms-1132-field_46\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][46]\" required><\/div><div id=\"wpforms-1132-field_21-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_21\">What is the purchase price of the equipment? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"[0-9]*\" id=\"wpforms-1132-field_21\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][21]\" required><\/div><div id=\"wpforms-1132-field_24-container\" class=\"wpforms-field wpforms-field-address wpforms-one-half wpforms-first\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_24\">Address of Property to be Purchased <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-1132-field_24\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][24][address1]\" required><label for=\"wpforms-1132-field_24\" class=\"wpforms-field-sublabel after \">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-1132-field_24-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][24][city]\" required><label for=\"wpforms-1132-field_24-city\" class=\"wpforms-field-sublabel after \">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-1132-field_24-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][24][state]\" required><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >District of Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawaii<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Louisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\" >Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >Michigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Mississippi<\/option><option value=\"MO\" >Missouri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >New Hampshire<\/option><option value=\"NJ\" >New Jersey<\/option><option value=\"NM\" >New Mexico<\/option><option value=\"NY\" >New York<\/option><option value=\"NC\" >North Carolina<\/option><option value=\"ND\" >North Dakota<\/option><option value=\"OH\" >Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oregon<\/option><option value=\"PA\" >Pennsylvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >South Carolina<\/option><option value=\"SD\" >South Dakota<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >West Virginia<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-1132-field_24-state\" class=\"wpforms-field-sublabel after \">State<\/label><\/div><\/div><\/div><div id=\"wpforms-1132-field_25-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_25\">Type of Property to be Purchased <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1132-field_25\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][25]\" required><\/div><div id=\"wpforms-1132-field_47-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half wpforms-first\" data-field-id=\"47\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_47\">Numbers <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"[0-9]*\" id=\"wpforms-1132-field_47\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][47]\" required><\/div><div id=\"wpforms-1132-field_28-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_28\">Is real estate included in the purchase? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1132-field_28\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1132-field_28_1\" name=\"wpforms[fields][28]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1132-field_28_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1132-field_28_2\" name=\"wpforms[fields][28]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1132-field_28_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-1132-field_26-container\" class=\"wpforms-field wpforms-field-select wpforms-one-half wpforms-first\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_26\">Is Business Income Tax Return Verifiable? <span class=\"wpforms-required-label\">*<\/span><\/label><select name=\"wpforms[fields][26]\" id=\"wpforms-1132-field_26\" class=\"wpforms-field-large wpforms-field-required\"  required><option value=\"\" ><\/option><option value=\"Yes\" >Yes<\/option><option value=\"No\" >No<\/option><\/select><\/div><div id=\"wpforms-1132-field_29-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_29\">Borrower Credit Score  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"[0-9]*\" id=\"wpforms-1132-field_29\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][29]\" required><\/div><div id=\"wpforms-1132-field_27-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half wpforms-first\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_27\">Last Year Gross Business Income <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"[0-9]*\" id=\"wpforms-1132-field_27\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][27]\" required><\/div><div id=\"wpforms-1132-field_30-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_30\">Last Year Net Business Income  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"[0-9]*\" id=\"wpforms-1132-field_30\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][30]\" required><\/div><div id=\"wpforms-1132-field_31-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"31\"><h3 id=\"wpforms-1132-field_31\" name=\"wpforms[fields][31]\">Submission Details<\/h3><\/div><div id=\"wpforms-1132-field_32-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_32\">Helpful Information <\/label><textarea id=\"wpforms-1132-field_32\" class=\"wpforms-field-small\" name=\"wpforms[fields][32]\" ><\/textarea><\/div><div id=\"wpforms-1132-field_49-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"49\"><div id=\"wpforms-1132-field_49\"><b>Representations and Warrants<\/b><br><p>When you select \u201cI agree\u201d and click the \u201cSubmit\u201d button below, you represent and warrant to LEY Capital Corporation and\/or its assigns (\u201cLEY\u201d) that you, the applicant (\u201cApplicant\u201d), agree to the below as well as the LEY Capital (\"LEY\") Terms, Conditions and Privacy Policy, and that you are authorized to apply for financing on behalf of Borrower and Borrower\u2019s business. Applicant understands and agrees that this application is not a commitment from LEY to make or provide a loan, but rather is a step in our due diligence process. Applicant authorizes LEY to make any review or inquiry that LEY may deem necessary in connection with Borrower or other aspects of this application. Applicant understands that if Borrower does not qualify for a loan through LEY\u2019s direct loan programs, Borrower may be referred to another capital source for financing (this will not affect Applicant\u2019s referral fee if Applicant is a referrer or intermediary). Applicant understands that LEY maintains a strict electronic data and information privacy, confidentiality and fraud prevention policy (\u201cPolicy\u201d). Applicant agrees to abide by LEY\u2019s Policy and understands that upon receipt of this application and per Policy, LEY will contact Borrower directly to confirm the accuracy and authenticity of the information submitted and; communicate directly with the Borrower to coordinate the transfer of confidential documentation and information throughout the loan process.<\/p><\/div><\/div><div id=\"wpforms-1132-field_50-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"50\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1132-field_50\">Terms <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1132-field_50\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1132-field_50_1\" name=\"wpforms[fields][50][]\" value=\"I Agree\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1132-field_50_1\">I Agree<\/label><\/li><\/ul><\/div><div id=\"wpforms-1132-field_34-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_34\">File Upload<\/label><input type=\"file\" id=\"wpforms-1132-field_34\" data-rule-extension=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,ico,heic,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages\" data-rule-maxsize=\"134217728\" name=\"wpforms_1132_34\" ><\/div><div id=\"wpforms-1132-field_52-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"52\"><label class=\"wpforms-field-label\" for=\"wpforms-1132-field_52\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1132-field_52\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][52]\" required><\/div><\/div><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-1132-field-hp\" class=\"wpforms-field-label\">Website<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-1132-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"1132\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" class=\"wpforms-submit \" id=\"wpforms-submit-1132\" value=\"wpforms-submit\" aria-live=\"assertive\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container --><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":215,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v15.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Apply Now Form | Lending Company in FL | LEY CAPITAL<\/title>\n<meta name=\"description\" content=\"LEY CAPITAL is a lending company in Florida that provides funding solutions and business loans that meet a variety of needs. 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