TA Post Loan Assessment BAS Post Loan Assessment Your Name * Your Name First First Last Last Email * Phone * Name of Your Company * What industry are you in: * Agriculture Auto Repair Business Services Education Food and Beverage Hair and Beauty Services Healthcare Service Manufacturing Non-Profit Real Estate or Housing Retail Transportation Other What industry are you in: How long have you been in business: * What is your credit score: * Under 500 Over 500 Over 600 Over 700 Over 800 How many employees including yourself do you currently have (#FT/#PT): * What is your company's net annual sales: * What is your company's net annual profits: * What is the approximate amount of debt your business has (do not include your ACE loan): * What is the current salary you receive from your business: * Do you have another source of income? * Yes No Are you current on your business rent/lease? * Yes No If no, please explain * If yes, please select a range below: * Less than $10,000 $10,001 - $20,000 $20,001 - $30,000 $30,001 - $40,000 $40,001 - $50,000 $50,001 - $60,000 $60,001 - $70,000 $70,001 - $80,000 $80,001 - $90,000 $90,001 - $100,000 $100,001 - $110,000 $110,001 - $120,000 $120,001 or More What would you say is the current health of your Accounting and Bookkeeping? Do you outsource these services and are your books up to date? * What are the top 3 things you are hoping to accomplish from the assistance you receive from the Business Advisory Service: * For example: "I hope to pay off 2 of my credit cards," "I hope to move my business to a new location by the end of the year," "I'd like to start receiving a salary from my business." If you are human, leave this field blank. Submit
