Pre‑Qualification Form

Get funded as fast as 24-48 hours!

Business Information

Legal Business Name

DBA (Doing Business As)

EIN

Business Start Date

Industry / Business Type

Entity Type

Please provide your business location details below.

Business Address

Country/Region

Address

City

Zip / Postal code

Business Phone

Business Email

Website

Funding Request

Type of Loan Requested

Amount Requested

Desired Term

How Soon Are Funds Needed?

Use of Funds

Financial Information

Average Monthly Gross Revenue

Average Monthly Bank Deposits

Primary Business Bank

Current Outstanding Business Loans / MCA Balances?

Yes

Number of Existing Positions / Loans **required if yes**

List Funder Names & Balances **required if yes**

Does the business have overdue taxes?

Has the business declared bankruptcy?

Primary Owner Information

Owner First Name

Owner Last Name

Title

Ownership %

Social Security Number

Date of Birth

Month

Day

Year

Personal Credit Score (Approx.)

Home Address

Country/Region

Address

City

Zip / Postal code

Cell Phone

Owner Email

US Citizen / Permanent Resident?

Years at Current Address

Additional Owner (Optional)

Owner Full Name

Title

Ownership %

SSN

DOB

Month

Day

Year

Personal Credit Score

Home Address

Country/Region

Address

City

Zip / Postal code

Cell Phone

Years at Current Address

Business Documents

*Required Fields

4-6 Recent Months of Business Statements (REQUIRED)

Credit Check Authorization

I hereby authorize [Valiantis Capital Funding], its subsidiaries, affiliates, and its designated network of third-party commercial funding partners, lenders, and underwriters (collectively, "Funders") to pull, view, and review consumer credit profiles, commercial credit reports, and other business background information from any credit reporting bureau (including but not limited to Experian, Equifax, and TransUnion) or commercial database. This soft credit inquiry will be used solely to pre-qualify the business for commercial financing options and will not impact my personal credit score. I further authorize [Valiantis Capital Funding] and its Funders to verify any information provided in this application, including uploading and reviewing bank statements, processing records, and financial disclosures. Must be completed in order to submit for pre-approval.

I authorize credit check (must be checked for pre-approval)

Authorization & Signature

Signature (must be signed for Pre-approval submission)

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Print Name

A Partner in Your Growth

I'm Michael Valiantis, proud son of a Greek-Cypriot immigrant who ran a New York City diner for 40 years. Growing up, I witnessed the toll that inconsistent cash flow and sudden repairs took on my family's business. These experiences inspired me to launch Valiantis Capital Funding, providing the rapid and honest financial support that small businesses truly deserve. We look for transparent terms and quick approvals so you can manage seasonal shifts or expand without the burden of uncertainty. Our team treats every client with the respect and work ethic I learned from that diner.

With Valiantis Capital, we ensure that no entrepreneur has to face financial transitions alone. Our commitment to reliability and community, makes us more than just a broker - we are your partner in growth.