Riverhead Funding Application

Complete your business profile

Check your business's eligibility without impacting your credit.
Business Name*
e.g., Tesla Motors, Inc
DBA Name
e.g., Tesla
Rep

Complete your business profile

Check your business's eligibility without impacting your credit.
Business Address*

Street Address

Street Address Line 2

CityState

Zip Code
Federal Tax ID Number (9 digits)*
EIN Number
I don't have an EIN number
Legal Entity Type*

Sole ProprietorshipPartnershipCorporationLLCOther
Business Start Date*

MonthDayYear
Date

Owner Information

Check your business's eligibility without impacting your credit.
Name*

First NameLast Name
Email*
example@example.com
Mobile Number*
Please enter a valid mobile number.
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Birth Date*

MonthDayYear
Date of Birth
Social Security Number*
Used for verification purposes.
Ownership %*
Ownership Percentage
Credit Score*
(To the best of your knowledge)
Add a partner to this business?

Co-Owner Information

Check your business's eligibility without impacting your credit.
Name*

First NameLast Name
Email*
example@example.com
Mobile Number*
Please enter a valid phone number.
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Birth Date*

MonthDayYear
Date of Birth
Social Security Number*
Used for verification purposes.
Ownership %*
Credit Score*
(To the best of your knowledge)

Upload last 3-4 months business bank statements

Check your business's eligibility without impacting your credit.
Document Upload

Upload last 3-4 months business bank statements
Cancelof
Click next to skip this for now.

Last Step: Certify and agree to terms and conditions

Check your business's eligibility without impacting your credit.
Signature*

Clear
Date*

MonthDayYear
Date
Co-Owner Signature*

Clear
Date*

MonthDayYear
Date
utm_source
utm_medium
utm_campaign
Product Interest
amountRequested
rateRequested
frequencyRequested
termlengthRequested
Should be Empty:

Complete your business profile