KEJOE LLC - Client Intake Form

KEJOE LLC – Client Intake Form

Application for Funding with KEJOE LLC and its funding partners.

Complete this application to determine your eligibility for personal or business funding. Your information is handled with strict confidentiality.

Note: The information you provide will be used to assess your funding options and may require additional documentation during the process.

Disclaimer:
KEJOE LLC provides advisory and preparation services only. We do not directly lend, guarantee funding, or provide credit repair services.

Referral Source

SECTION 1: Personal Information

First Name *

Last Name *

Email *

Phone *

Current Address

City

State

Country

Postal code

Time At Current Address

Previous Address (if < 2 years)

Who Referred You?

Select Referral Source

SECTION 2: Pre-Qualification

Desired Funding Amount *

$5K–$25K

$25K–$50K

$50K–$100K

$100K+

Estimated Credit Score *

Below 580

580–620

620–680

680–740

740+

Current Debt Level *

Low

Moderate

High

Funding Timeline *

ASAP (0–7 days)

1–2 weeks

30+ days

Current Debt Level *

Under $2,000

$2,000–$5,000

$5,000–$10,000

$10,000+

SECTION 3: Owner & Guarantor

Owner of SPV: *

Ownership Percentage: *

Guarantor Information & Role: *

SPV will be purchased by: *

Name of Credit Partner to secure the funding: *

Primary Intended Use: *

Target Funding Amount:: *

Business Banking Needed - Assistant required: *

Yes

No

Desired Entity Name for SPV:

SECTION 4: Employment & Income

Employment Status *

Employed

Self-Employed

Business Owner

Retired

Unemployed

Employer / Business Name *

Job Title / Role *

Time in Position *

Monthly Gross Income *

Additional Income Sources (optional)

SECTION 5: Business Information (Only If Applying For Business Funding)

Business Name

Business Entity Type

LLC

Corporation

Sole Proprietor

EIN

Business Address

Years in Business

Monthly Revenue

Business Bank Name

Do you have business credit established?

Yes

No

Do you currently have open credit cards?

Yes

No

Estimated Total Credit Limits

Current Utilization

Under 30%

30–70%

Over 70%

Any of the following in the last 24 months?

Late Payments

Collections

Charge-offs

Bankruptcy

None

SECTION 7: Funding Details

What type of funding are you seeking? *

Personal Credit Funding

Business Credit Funding

Lines of Credit

Fix & Flip / Real Estate

Other

What will the funds be used for?

Have you applied for funding recently?

Yes

No

If yes, when and outcome?

SECTION 9: Consent & Authorization

Checkboxes *

I certify that the information provided is accurate

I authorize KEJOE LLC and its funding partners to review my credit profile

I consent to be contacted via phone, email, and SMS

I understand this is not a guarantee of funding

We respect your privacy. Your contact information will only be used to keep you informed about this summit and related offerings. We’ll never sell or share your information, and you can unsubscribe anytime.