Iterum Financial Application

Full Legal Name Owner 2
% of Ownership
Home Address Owner 2

Home Address

Street Address Line 2

CityState

Zip
Owner 2 Email
example@example.com
Owner 2 Mobile
Owner 2 Date of Birth

MonthDayYear
Date
Owner 2 Social Security #
SSN
Authorization Form

By signing below, each of the above-listed businesses and business owners/officers (individually and collectively, "you") authorizes ITERUM FINANCIAL INC and each of its representatives, successors, assigns, and designees ("Recipient") that may be involved with or acquire commercial loans with daily repayment features or purchase future receivables, including Merchant Cash Advance transactions, including, without limitation, the application thereof (collectively, "Transactions"), to obtain consumer or personal, 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.
Owner 1 Name*
Date

MonthDayYear
Date
Owner Signature*

Clear
Owner 2 Name
Date

MonthDayYear
Date
Co Owner Signature

Clear
Upload last 4 months of Business bank statements

Cancelof
Should be Empty: