Pre-Application New Client

Please complete all fields to the best of your knowledge.

First Name

Name

Date

Phone/Cell

Address

City

State

Zip Code

Name of Business

Location of Business

Type/Description of Business

Purpose of Loan

Loan Amount

Demographics

I choose not to provide this information

Gender

Male Female

Ethnicity

Hispanic or Latino Not Hispanic or Latino

Race

American Indian, Alaska Native Asian Black or African American Native Hawaiian/Pacific Islander White

Are you a Veteran

Yes No

Are you a U. S. Citizen

Yes No

How did you hear about us?

Information Business Plan Summary

A Credit Report is required for us to move forward with formal loan application. A Credit Check Application Form is required with a check for $25.00 – payable to VEDIC prior to a Credit Report.

VEDIC is an equal opportunity/affirmative action employer and lender.

About

Learn more about how VEDIC is helping the regional business community.

Resources

Learn more about resources available to businesses in our region and throughout the state.

Contact

Have a question or comment? Contact VEDIC today to learn more about our loans and services throughout the foothills of North Carolina.

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