Fat Cat Funding Group
SSL/Adobe Sign Secure Application
Legal Name
*
Business Name
DBA Name
If Applicable
Federal Tax ID
*
Sole Proprietor SS is Tax ID
Business Start Date
*
/
Month
/
Day
Year
Date
Industry
State of Incorporation
*
Legal Entity
(Corporation, sole prop, partnership, LLC)
Business Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
APPLICANT INFORMATION
First Name
*
Last Name
*
Date of Birth
-
Month
-
Day
Year
Date
SSN
*
Credit Score
Business Website
%age Ownership
Cell Phone
*
-
Area Code
Phone Number
Home Phone
-
Area Code
Phone Number
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
BUSINESS FUNDING INFORMATION
Average Monthly Sales
*
Average Monthly Credit Card Sales
If you have credit card processing
Average Daily Bank Balance
Amount Requested
*
Date that you Need the Funds By
-
Month
-
Day
Year
Date
Past Defaults
*
Yes
No
LIST OF OWNED REAL ESTATE (COMMERCIAL AND RESIDENTIAL)
OUTSTANDING LOANS & MERCHANT CASH ADVANCES
Lender/Creditor
Date Funded
Original Amount
Payback Amount
Length of Loan
Current Balance
Payment Amount
1.
2.
3.
4.
5.
Bank Statements
Browse Files
Monthly Bank Statements
Cancel
of
Signature
*
Clear
Date
-
Month
-
Day
Year
Date
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