ECP Business Capital Application
Questions? Call: (502) 616-3879 or visit: ecplending.com
Business Name
*
E-mail
*
example@example.com
Phone Number
*
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Industry Type
*
Federal Tax ID
*
Business start date under current ownership
*
-
Month
-
Day
Year
Date
State of Incorporation or Organization
*
What type of loan are you interested in?
*
Please Select
Business Term Loan
Merchant Cash Advance
Business Line of Credit
SBA Loan
Consolidation
Collateralized Loan
How much capital do you need?
*
Please Select
15k-25k
25k-50k
50k-100k
100k-250k
250k-500k
500k-1m
1m+
How soon do you need funding?
*
Please Select
24-48 Hours
1-2 Weeks
3-4 Weeks
4 Weeks
Do you have any open merchant cash advance or business loan accounts?
*
Yes
No
Lender Name & Balance
Lender Name & Balance
Lender Name & Balance
Merchant/Owner Information
Name
*
First Name
Last Name
Title
*
Ownership Percentage
*
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
SSN
*
Credit Score
*
Date of Birth
*
-
Month
-
Day
Year
Date
Please Upload The Last 4 Months of Statements
Bank Statement (PDF)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Bank Statement (PDF)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Bank Statement (PDF)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Bank Statement (PDF)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
*
By signing below, each of the above-listed business and business owner/officer (individually and collectively, “you”) authorize ECP Solutions Limited Liability Corporation (“ECP SOLUTIONS”) and each of its representatives, successors, assigns and designees (“Recipients”) that may be involved with or acquire commercial loans having daily repayment features or purchases of future receivables including Merchant Cash Advance transactions, including without limitation the application therefor (collectively, “Transactions”) to obtain consumer or personal, business and investigative reports and other information about you, including credit card processor statements and bank statements, from one or more consumer reporting agencies, such as TransUnion, Experian and Equifax, and from other credit bureaus, banks, creditors and other third parties. You also authorize ECP SOLUTIONS to transmit this application form, along with any of the foregoing information obtained in connection with this application, to any or all of the Recipients for the foregoing purposes. You also consent to the release, by any creditor or financial institution, of any information relating to any of you, to ECP SOLUTIONS and to each of the Recipients, on its own behalf. You also authorize ECP SOLUTIONS and each of its Recipients to contact you via text message, automated call or email message at the contact information listed above.
Signature
*
Submit
Should be Empty: