Lendme Funding Application

Funding Application

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

MonthDayYear
Date
Legal Name and DBA*
Legal Entity Type*
(LLC, S-Corp, Inc, Sole Prop, etc)
State of Inception
Federal Tax ID*
Business inception Date

MonthDayYear
Date
Physical Address*

Street Address

Street Address Line 2

CityState

Zip Code
Cell Phone Number *
Please enter a valid phone number.
Business Phone Number
Please enter a valid phone number.
Business Email*
example@example.com
Website
online presence is recommended
Business Home Based?

YesNo
Rent or Own Location?

RentOwn
Industry Type*
Any existing loans?

YesNo
List lender name and balance of each MCA loan
Business Financial Information
Total Sales From Previous Tax Return
Average Monthly Deposit Count #
Number of deposits per month
Average Daily Bank Balance $
Average Monthly Sales $
Total Deposits
Requested Loan Amount*
Primary Use Of Funds*
Brief description of the type of financing you are seeking:

0/50
OWNER / OFFICER INFORMATION
Full Name*

First NameLast Name
Officer Title*
Ownership %*
FICO SCORE*
Date of Birth*

MonthDayYear
Date
Social Security Number *
Drivers ID#
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Print Name (1)*
Bank Statements ( 4 months )

Month to Date bank statements are required if applying after the 15th Day of the month. If preferred, you can attach bank statements to funding@rocketlenders.com
Cancelof
Drivers License ID

Photo of your state ID
Cancelof
By signing this application, the merchant and its owners/principals: I certify that all information and documents submitted in the connection with this is true; and authorize Rocket Lenders LLC dba LendMe, it’s agents, representatives, and lenders to obtain credit reports and any other information regarding the merchant and it’s owners to verify any information provided in the application for the purpose of business funding. I am providing express consent to be contacted via email, phone, and sms regarding improtant notifications, regarding offers, discounts, and promotions related to commercial financing. (message data rates may apply, “Text HELP for help” or STOP to cancel). Read our Privacy Policy for complete details.
Signature owner (1) *

Clear

Second Owner Information - If under 50%
Name

First NameLast Name
Ownership %
Email
example@example.com
Social Security Number
DOB

MonthDayYear
Signature owner (2)

Clear
Should be Empty:

Funding Application

COMPANY INFORMATION

Business Financial Information

OWNER / OFFICER INFORMATION