| Legal / Corporate Name |
|
| Industry |
|
| Business Type |
|
| Primary Address Line 1 |
|
| Primary City |
|
| Primary State |
|
| Primary Postal Code |
|
| Mortgage / Rent Amount |
|
| Landlord Name |
|
| Landlord Phone Number |
|
| Business Start Date |
(yyyy-mm-dd)
|
| Current Advance? |
|
| Tax ID |
|
| Name of Bank |
|
| Bank Routing Number |
|
| Bank Account Number |
|
| Bank Account Type |
|
| Accepts Credit Cards? |
|
| Avg Monthly Bank Deposits |
|