AS SEEN ON

AS SEEN ON

Working Capital Application

"*" indicates required fields

Minimum Requirements to Apply Are Easy As 1 – 2 – 3:

1. You Need to Have Been in Business with a Business Checking Account Open in the Business Name for at Least 4 Months.
2. $7,500+ in Monthly Revenue Deposited to Above Business Checking Account Each of the Last 4 Months Before Applying.
3. 475 or Higher Personal Credit Score.
(If Your Credit Score is NOT 475 or Higher Click Here. We Can Help You Get It Above 475 Fast)

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 Business Revenue?*

How'd You Hear About Us?*

Financing Program Wanted?*

Legal Business Name*

DBA Business Name*

Name*

First Last

Cell Phone Number*

Business Email*

Business 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

Home Address*

Street Address Apt/Unit/Suite City State / Province / Region ZIP / Postal Code

Cell Phone Number*

Personal Email*

Housing Status*

Your Birth Date*

Social Security Number*

Your Credit Score*

What % of Business Do You Own?*

Principal Owner #2

Name*

First Last

Home Address*

Street Address Apt/Unit/Suite City State / Province / Region ZIP / Postal Code

Cell Phone Number*

Personal Email*

Housing Status*

Your Birth Date*

Social Security Number*

Your Credit Score*

Upload Business Checking Account Statements

Required To Process Application – Upload Last 4 Months Business Checking Account Statements and a Printout of All Activity for Current Month.

NOTE: We do NOT accept checking accounts with the following: Square, Bluevine, Found, Mercury, or Novo.

Estimated Processing Time: 2 – 4 Business Hours

IMPORTANT: Attach August 2025 Printout of Business Checking Account Activity To Date.*

Accepted file types: pdf, Max. file size: 1 GB.

Attach July 2025 Final Business Checking Account Statement Here*

Accepted file types: pdf, Max. file size: 1 GB.

Attach June 2025 Final Business Checking Account Statement Here*

Accepted file types: pdf, Max. file size: 1 GB.

Attach May 2025 Final Business Checking Account Statement Here*

Accepted file types: pdf, Max. file size: 1 GB.

Attach April 2025 Final Business Checking Account Statement Here*

Accepted file types: pdf, Max. file size: 1 GB.

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*

Today's Date*

Owner #2 Signature*

Today's Date*