Working Capital Application

Minimum Requirements to Apply:

Have Been in Business at Least 3+ Months

475 or Higher Personal Credit Score

Business Checking Account in Business Name With at Least 3 Months History (NO personal accounts allowed.)

$5,000+ in Monthly Revenue Deposits to Above Business Checking Account Each of the 3 Months Before Applying
Business Information
How Much In Funding Do You Need?*
What Will You Use the Funds For?*
How Soon Do You Need Funds?*
What Is Your Monthly Revenue?*
How'd You Hear About Us?*
Financing Program Wanted?*
Legal Business Name*
DBA Business Name*
Name*
First Last
Cell Phone Number*
Email*
Address*
Business Street Address City State / Province / Region ZIP / Postal Code

(No PO Boxes allowed)

Business Financial Information
Federal Tax ID Number*
State of Incorporation*
State / Province / Region
Business Start Date*
Legal Business Structure*
Company Website*
If no website, put “None”.
Products/Services Sold*
Do you have any business loan balances open with another company?*
- Yes
- No
Company Name Loan #1
Date Funded
Approximate Balance
Payment Amount
Company Name Loan #2
Date Funded
Approximate Balance
Payment Amount
Principal Owner #1
Name*
First Last
Address*
Street Address Apt/Unit/Suite City State / Province / Region ZIP / Postal Code
Birth Date*
Cell Phone Number*
Email*
Your Credit Score*
Social Security Number*
% Ownership*
Principal Owner #2
Name*
First Last
Address*
Street Address Apt/Unit/Suite City State / Province / Region ZIP / Postal Code
Birth Date*
Cell Phone Number*
Email*
Your Credit Score*
Social Security Number*
Upload Business Checking Account Statements
Required For Approval – Upload Last 3 Months Business Checking Account Statements & a Printout of All Activity for the Current Month
Estimated Approval 3 – 4 Hours
Attach March Business Checking Account Printout of All Activity Month to Date Here*
Accepted file types: pdf.
Attach February Final Business Checking Account Statement Here*
Accepted file types: pdf.
Attach January Final Business Checking Account Statement Here*
Accepted file types: pdf.
Attach December Final Business Checking Account Statement Here*
Accepted file types: pdf.
DISCLOSURE The Owner(s)/Officer(s) identified above (individually, an “Applicant”) each represents, acknowledges and agrees that: (1) all information and supporting documents are true, accurate and complete and that you will notify us of material changes to such information (2) Applicant authorizes us to disclose all information and documents that we may obtain including credit reports to other persons or entities (collectively, “Assignees”) that may be involved with acquiring business loans having daily, weekly, or monthly repayment features or purchases of future receivables including Merchant Cash Advance transactions and Revenue Based Funding transactions including without limitation the application (collectively, “Transactions”). Each Assignee is authorized to use such information and documents with other Assignees, in connection with potential Transactions, (3) You are authorized to apply on behalf of the company whose full legal name appears above under the Company/Business Information portion of the Application for Transactions. (4) You understand that we and our representatives, successors, Assignees and designees (collectively, “Recipients”) are authorized to request and receive any investigative reports, credit reports, statements from creditors or financial institutions, verification of information, verification of references or any other information that a Recipient deems necessary in evaluating your application. (5) Applicant waives and releases any claims against Recipients and any information-providers arising from any act or omission relating to the requesting, receiving or release of information. (6) You expressly consent to receiving calls including automated dialer calls, SMS messages, faxes, and e-mails from us, our affiliates, and Assignees and you may withdraw your consent by notifying us in writing.
I Agree*
- I agree with the terms and conditions of this Disclosure.
Owner #1 Signature*
Date*
Owner #2 Signature*
Date*

AS SEEN ON

AS SEEN ON

Working Capital Application

Minimum Requirements to Apply:

Business Information

Business Financial Information

Principal Owner #1

Principal Owner #2

Upload Business Checking Account Statements

Have Questions Before Filling Out the Application?

One of Our Funding Specialists Can Contact You