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Please read and check that it applies to you.
If you are applying for individual credit in your own name and are relying on your own income or assets and not on the income of another person's assets as the basis for full repayment. Owner information (1) and omit Owner information (2)
If this is a joint credit application with another person, complete the Owner's Information (1) and the Owner's Information (2).
Agente
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
Date:
Proper use of funds:
Company Information
Company Information
Legal name of the company:
State where the company is incorporated:
Federal Tax ID
Physical Address (No P.O. Box):
City:
State:
Zip Code:
Do you currently have a debt ( Cash Advance?): Yes - is: / No
Company phone number:
Date on which you founded your company:
Legal Entity
Corporation
General Partnership
LLC
LLP
Another
Does your business have a bank account?
YES
NO
Does your business accept credit cards during the last 3 months?
YES
NO
You rent or own:
Renta
Owner
Name of the owner where it is rented:
Phone number of the owner to whom you are renting:
Type of company / industry:
General description of the estimated flow
General description of the estimated flow
Annual Business Income:
Average Monthly Bank Balance:
Monthly credit card sales volume:
The amount of funding requested:
Owner's information ( 1 )
Owner's information ( 1 )
Name :
Email Client:
Home phone:
Mobile phone:
Date of birth:
Social Security Number:
*
Annual revenue :
Address of the house ( P.O. Box is NOT accepted ):
City:
State:
Zip Code:
What percentage of ownership do you have of the business % :
Owner's information ( 2 )
Owner's information ( 2 )
Name :
Email Client:
Home phone:
Mobile phone:
Date of birth:
Social Security Number:
Annual revenue :
Address of the house ( P.O. Box is NOT accepted ):
City:
State:
Zip Code:
What percentage of ownership do you have of the business % :
By signing and faxing or emailing your application, you certify that ( i ) you are authorized to apply on behalf of the company whose full and legal name appears above and below the Company portion of the loan application for a business loan from us and ( ii ) all information you provide in the loan application and other supporting documents is true and complete and that you will notify us of material changes to such information. You understand and agree that we and our agents and assigns authorized to contact third parties to make inquiries in evaluating your loan application (including requesting business reports and personal credit bureaus from credit reporting agencies and other sources) or for any updates, renewals, extensions of credit agency to the person(s) signing and the Company with third partieswho may use the information for any lawful purpose, including for the purpose of offering credit and/or other products and services to the person(s) signing and/or Company.
Signature
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