Funding Application

Funding Application

Tel: 877-883-8634
COMPANY INFORMATION
Date of application

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Legal Name and DBA
Legal Entity Type
(LLC, S-Corp, Inc, Sole Prop, etc)
State of Inception
Business inception Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Federal Tax ID
Physical Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Business Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Business Email
example@example.com
Has any owner been convicted of a felony?
Business Home Based?
Rent or Own Location?
Any existing loans?
Balance of current loans
Funding Company
Business Bank Name
Industry Type
Business Financial Information
Total Sales From Previous Tax Return
Type a question
Average Daily Bank Balance $
Average Monthly Sales $
Total Deposits
Credit Card Processor
Average Monthly Credit Card Sales $
Requested Loan Amount
Primary Use Of Funds
Brief description of the type of financing you are seeking:

0/70
OWNER / OFFICER INFORMATION
Full Name

First NameLast Name
Officer Title
Ownership %
Officer Title
Drivers ID#
FICO SCORE
Social Security Number
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Owner Officer 1 Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Print Name (1)
Bank Statements

Last 3 months of business bank statements
Cancelof
Drivers License ID

Photo of your state ID
Cancelof
By signing this application, the merchant and its owners/principals certify that all information and documents subminted in the connection with this is true; and authorize Red Rock Lenders LLC, it's agents and lenders to receive credit reports and any other information regarding the merchant and it's owners to verify any information provided in the application.
Signature owner (1)
- Name
  
  First NameLast Name
- Officer Title
- Ownership %
- Drivers ID#
- Social Security Number
- Date of Birth
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Home Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Printed Name (2)
- Signature owner (2)
- Should be Empty:

Funding Application

COMPANY INFORMATION

Business Financial Information

OWNER / OFFICER INFORMATION