Step 2 of 4

Transaction Intake Form

Please complete all sections accurately. Finhanced Inc. treats all submissions as strictly confidential.

Origination Package Transaction Intake Form
Section A — Company Information
Section B — Business Profile
Section C — Transaction Details
Section D — Supporting Documentation
Please indicate which documents you are able to provide:

Please upload 2 business cards of your banking contacts. These are required for bank verification purposes.

Section E — Counterparty Information
Section F — Declaration

I, the undersigned, hereby declare that the information provided in this Transaction Intake Form is true, accurate, and complete to the best of my knowledge. I understand that Finhanced Inc. will rely on this information for the purpose of evaluating and structuring the requested financial instrument. I acknowledge that any misrepresentation or omission of material facts may result in the rejection of this application or termination of any engagement. I further acknowledge that Finhanced Inc. is an advisory and arrangement firm and is not a bank or financial institution. All instruments are subject to independent approval and issuance by regulated banking institutions.