Financial information

Amount Requested: $ Average Monthly Revenue: $

Existing loan: YesNoIf yes, remaining balance: $

Total Annual Revenue (every 12 months): $Avg Monthly Sale via Credit Card: $

Business Information

Legal Name: DBA Name:

Street Address: City/State/Zip:

Legal Entity Type: Sole PropPartnershipLLCCorp

Business Start Date: Product/Services Sold:

Owner Information

Full name: Street Address: City/State/Zip: Mobile Phone: Email: Ownership %:

Second owner information (if applicable)

Full name: Street Address:
City/State/Zip: Mobile Phone:
Email: Ownership %:

Commercial Property Information

OwnLeaseMonthly Rent/Mortgage Payment:
Lease Start Date: Lease End Date:

By signing below, the merchants and its owners/principals: (1) certify that all information and documents submitted in connection with this application is (are) true, correct and complete; (2) authorize Capital Funding, its agents, and lenders to receive credit reports and other information regarding the merchant and its owners and principals from third parties, to verify any information provided on this application.

By:
By:

Upload Bank Statement: Agent Name:
Upload Bank Statement 2: Upload Bank Statement 3:
Upload Bank Statement 4: Upload Bank Statement 5:
Upload Bank Statement 6:
Please type/write brief description for use of funds if approved: