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Access Private Credit

Apply for private credit funding for your business.

Liquidity Solutions for Shareholders & Public Companies

Confidential Inquiry Form

Stage 1: Applicant Information

Please provide basic details so we can assess your request.

Full Name

Title / Position

Company Name (if applicable)

Country of Residence / Incorporation

Application Type

Stage 2: Solution Type Selection

What type of financing or liquidity solution are you seeking?

A. Shareholder Liquidity Solutions

Collateralized Repurchase Agreement (CRA)Share Purchase Agreement (SPA)

B. Public Company Financing Solutions

Equity Line of CreditConvertible Note / Structured Equity InvestmentDebt-to-Equity ConversionCollateralized Repurchase Agreement (CRA)At-The-Market (ATM) / Follow-On OfferingBridge Financing (3–6 months)

Stage 3: Collateral / Stock Profile

Required for all solutions involving publicly traded securities.

Exchange

Stock Ticker

Estimated Value of Shares / Capital Requirement

Amount of Shares to Pledge or Monetize

Stage 4: Shareholder / Borrower Profile

Are the shares unrestricted and freely tradable?

Can the shares be transferred to a third-party custodian account?

Holding Period of Shares

Are the shares held in

Will the transaction be conducted on behalf of

Stage 5: Transaction Objectives

Help us tailor the structure to your needs.

Intended Use of Proceeds

Desired Funding Amount (USD or local currency)

Preferred Timeline