FRONTIER FUNDING APPLICATION

Thank you for your interest in Frontier Funding!

We're excited to work with you. Fill out the application below to get started!
If you have multiple owners, please have each owner fill out a separate application.
STEP 1: ABOUT YOUR BUSINESS
COMPANY NAME*
OTHER TRADE NAMES AND DBAs
US DOT#*
MC#*
EMAIL*
example@example.com
PHONE*
OFFICE MANAGER NAME
FAX
BUSINESS ADDRESS*
CITY*
STATE*
ZIP*
BUSINESS TYPE*

CorporationLLCIndividual/Sole ProprietorPartnership
STATE BUSINESS WAS FORMED IN*
YEARS IN BUSINESS*
CHECK ALL THAT APPLY

BACK TAXESJUDGEMENTS & LIENSLAWSUITSCRIMINAL CONVICTIONS
EXPLAIN WHY (if any of the above)
YEARS IN TRANSPORTATION INDUSTRY*
TYPE OF EXPERIENCE IN INDUSTRY*
DESCRIBE YOUR GROWTH PLANS*
I AM ALSO INTERESTED IN

FUEL CARDSFUEL ADVANCES
STEP 2: ABOUT YOUR ACCOUNTS RECEIVABLE
AMOUNT YOU INTEND TO FACTOR MONTHLY*
HOW SOON DO YOU INTEND TO START FACTORING?*
HAVE YOU OR ANY OWNER EVER FACTORED OR BORROWED AGAINST YOUR RECEIVABLES?*

YESNO
IF YES, WITH WHOM?
ARE YOU CURRENTLY IN A FACTORING RELATIONSHIP?*

YESNO
IF YES, WITH WHOM?
DO YOU HAVE A WORKING CAPITAL ADVANCE OR LOAN?*

YESNO
IF YES, WITH WHOM?
IF YES, WHAT IS THE CURRENT BALANCE?
STEP 3: OWNER'S INFORMATION
Name*
Title*
Home Address*
City, State, Zip*
Cell Phone*
SSN*
DOB*
% OWNED*
Signature*

Clear
Date*

MonthDayYear
Date
STEP FOUR: UPLOAD FILES

If you don't currently have a copy of one of these handy, don't worry! You can email copies to us once you are able.
If you have multiple owners, only one owner needs to submit the articles of formation, aging report, and currenty factoring agreement (if applicable).
Owner/Member Photo ID

Cancelof
Articles of Formation/Incorporation (if applicable)

Cancelof
Aging Report (or top 10 brokers with balances, if applicable)

Cancelof
If Currently Factoring: Copy of Current Agreement (if applicable)

Cancelof
STEP FIVE: FINAL SIGNATURE(S)
The above statements are true and correct to the best of my knowledge and belief. This serves as my authorization to release information regarding the application for the purpose of credit investigation to Frontier Funding, Inc. and or is designees and assignees.
Owner Signature*

Clear
Date*

MonthDayYear
Date
Print Name*
Should be Empty:

Thank you for your interest in Frontier Funding!

STEP 1: ABOUT YOUR BUSINESS

STEP 2: ABOUT YOUR ACCOUNTS RECEIVABLE

STEP 3: OWNER'S INFORMATION

STEP FOUR: UPLOAD FILES

STEP FIVE: FINAL SIGNATURE(S)