This document appears to be a prequalification form for a business seeking capital. It requests contact information including name, address, phone number, and email. It also asks about the business details like entity type, year incorporated, annual sales, and net income. Finally, it inquires about the applicant's credit history including any bankruptcies, foreclosures, existing business credit cards or lines of credit. The form directs the applicant to purchase a credit report from Credit Check Total and save the report as a PDF file to submit with the completed prequalification form.