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Application

Funding application

Application

The full signed application. Fill it in, upload your last three months of bank statements, and sign right here. A real funding strategist reviews it and goes to work on your options.

✓No impact to your credit ✓Sign on any device ✓Your file is not for sale
Pre-Approval Form About a minute. No credit impact.
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Merchant information

Enter your business legal name

Enter the business address

Enter city

Select a state

Enter zip

Enter a valid phone number

Enter a valid email

Enter your business type

Select one

Select one

Select one

Enter a 9-digit EIN

Enter the start date

Enter monthly gross sales

Select one

Owner / principal information

Enter full name

Enter ownership %

Enter home address

Enter city

Select a state

Enter zip

Enter a valid phone number

Enter a valid email

Enter date of birth

Enter a 9-digit SSN

Funding details

Enter the amount requested

Enter the use of funds

Select one

Bank statements

One statement per month. Photos of each page work too.

Month 1Most recent
Upload statementPDF, JPG, PNG
    Month 2Month before
    Upload statementPDF, JPG, PNG
      Month 3Month before that
      Upload statementPDF, JPG, PNG

        Authorization & signature

        By signing & faxing or emailing us your application, you certify that (i) you are authorized to apply on behalf of the Company whose full legal name appears above under the Company Information portion of the Merchant Cash Advance for a business advance from us and (ii) all information you provide within the Cash Advance Application and other supporting documents is true and complete and that you will notify us of material changes to such information. You understand & agree that we need and our agents and assignees are authorized to contact 3rd parties to make inquiries in evaluating your Cash Advance Application (including requesting business & personal credit bureau reports from credit reporting agencies and other sources) or for any update, renewal, extension of credit bureau name and address. You understand and agree that we may provide credit & other information from the Cash Advance Application and on the signing individual(s) & the company with the 3rd parties who may use the information any lawful purpose, including for the purpose of offering credit and/or other products & services on the signing individual(s) and/or the company.

        Check the box to sign

        Please agree before submitting

        ✓Sent over an encrypted connection straight to your Directly Lended advisor.