EBS APPLICATION

APPLICATION

Complete this along with attaching the last 3-4 months of bank statements and we'll get back to you with all your options in 1-2 hours.
FINANCIAL INFORMATION
Amount Requested
Average Monthly Revenue
Existing Loan(s)
If Yes, Remaining Balance
Total Annual Revenue (every 12 months)
BUSINESS INFORMATION
Legal Name
DBA Name
Legal Entity Type
Business Start Date*

MonthDayYear
Date
EIN Number*
Products/Services Sold
OWNER INFORMATION
Full Name*
Date of Birth*

MonthDayYear
Date
Social Security Number*
Estimated FICO
Address*

Street Address

Street Address Line 2

CityZIP

Postal / Zip Code
State*
Ownership Percentage *
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
By signing below, the Merchant and its owners/principals: (1) certify that all information and documents submitted in connection with this application are is (are) true, correct and complete; (2) authorize Elite Business Solutions, 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.
Name*
Date*

MonthDayYear
Date
By*

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Upload last 3-6 months of statements here

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APPLICATION