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Business Name (incl. dba) *

Business Address *

Address Line 1

City

State

Zip Code

Business Phone Number (incl. area code & country code if outside of the USA) *

Type of Business *

Date Established *

Business Tax ID (EIN, ITIN, etc.) *

Monthly Business Income *

Owner's Full Name *

Owner's Address *

Address Line 1

City

State

Zip Code

Is the applicant/owner a US citizen? *

Owner's Social Security Number or Passport Number if Foreign National

Have you or the business filed for bankruptcy? Please check all that apply. *

Yes, personal bankruptcy
Yes, business bankruptcy
No

Discharged?

Personal BK

Date Discharged

Business BK

Date Discharged

Any open or recent business or personal foreclosures, judgments, lis pendens, tax liens, etc.? (Type 'None' if these do not apply to you or your business.) *

Any open or delinquent equipment leases, lines of credit, MCAs, mortgages, or other loans? (Type & 'None' if these do not apply to you or your business.) *

Owner's Estimated FICO Credit Scores 3

If you are applying for a merchant cash advance (MCA), please attach the following:

Click or drag files to this area to upload. You can upload up to 4 files.

• Last 3 Months Business Bank Statements • Driver's License, Passport or Government-Issued ID • Copy of COJ(s) • Voided Check

If applying for any type of (real estate funding) please attach the following:

Click or drag files to this area to upload. You can upload up to 4 files.

• Last 6 Months Business Bank Statements • Last 2 Years Tax Returns • Driver's License, Passport or other Government-Issued ID • Executive Summary that includes complete property information, fund usage, rent roll (if applicable), source of funds, etc. For CRE Funding Only. • Any Other Supporting Documents

• Fillable Real Estate Owned sheet, including for purchases (Download Here)

“…For all other funding, please include a copy of the applicant's government-issued ID to create the initial funding package. Subsequent documents will be requested based on the specific type of funding request. Please be advised that if any of the requested documents are missing, we will not be able to fully pre-underwrite your package for a fast approval or response, and it will severely delay your funding…”

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