Business Funding Application

1
Business Legal Name* This field is required.
EX: ABC Towing, LLC
2
DBA (Doing Business As) - If applicable* This field is required.Type 'Same' if DBA is the same as your Business Legal Name
3
Legal Entity* This field is required.Please select one
Sole Proprietorship
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4
Federal Tax ID* This field is required.
Federal Tax ID
5
Business Phone Number* This field is required.
Business Phone Number
6
Business Email Address* This field is required.
example@example.com
7
Business Start Date* This field is required.
Date
Year
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Day
8
Business Address* This field is required.
Street Address
Street Address Line 2
City
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Country
9
Name of Business Owner* This field is required.
First Name
Last Name
10
Home Address* This field is required.
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
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Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
11
E-mail of Business Owner* This field is required.
12
Mobile Phone Number of Business Owner* This field is required.
Phone Number
13
% of Ownership* This field is required.Please enter a number from 0-100
14
Date of Birth of Business Owner* This field is required.
Month
Day
Year
15
Business Description* This field is required.In a couple of word, please describe the type of industry/business you own.
16
FINANCIAL FUNDING AGREEMENT * This field is required.THIS FINANCIAL FUNDING AGREEMENT (the “Agreement”) is made and entered this April 17th, 2023 (the “Effective Date”), by and between The Owens Consulting Agency, LLC (hereinafter referred to as the “Company”) who is duly organized under law and having a place of business within the State of Ohio, and __CLIENT___ ____ _ (hereinafter referred to as the “Borrower”) with a physical address of 21 E State Street Suite 200 Columbus, OH 43215; collectively referred to as the “Parties.” WHEREAS Borrower wishes to engage the Company to provide services of a complete music marketing campaign, and said Company agrees to provide such services for a “Consulting Fee” based on commission. WHEREAS, Borrower acknowledges that the Company will attempt to secure a loan, line of credit or credit card for the specific amount requested by the Borrower; however, the Borrower shall accept an alternative option of a series of loans, line of credit and credit cards totaling the requested amount; and NOW THEREFORE, in consideration of the foregoing, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, accepted, and agreed to, the Parties intending to be legally bound, agree to the Terms and Conditions set forth below: 1. TERMS OF SERVICE Commencing as of the Effective Date and continuing to remain in effect for 180 days. During such time, the Borrower agrees not to bypass Company by subsequently applying to recommended lending partner(s), and attempting to avoid paying the Company compensation. Borrowers agree to pay Company compensation for any new loan, line of credit and credit card modification to an existing loan proceeds made between Borrower and any recommended lending partner, regardless of prior relationships or accounts with the lender. This Agreement may be renewed or extended for any period as may be agreed by the Parties. 2. COMPENSATION FOR SERVICE Borrower acknowledges the Consulting Fee for Company services is offered on a no contingency basis, with fee due if funding is approved by a participating lender, whether the client chooses to accept the loan or line of credit or not, or a whether the client decides to activate the credit card or not. The Borrower agrees to pay Company a consulting and loan placement fee of 10% of the total funded loan amount which includes each loan, line of credit, and/or credit card within 24 hours upon receipt of funding. In the event, the Borrower does not pay within 24 hours, the Borrower consents to the each loan, line of credit, and/or credit card may be closed and sent to collections. Borrower understands such activity will be reported to all credit bureaus and the entire balance with additional late fees shall apply and be due immediately. 3. LIMITED WARRANTY company. shall render services under this Agreement in a diligent manner. No other warranty is expressed or implied regarding Company services, recommendation, or consultation, including, but not limited to Company or lender performance. Company. does not guarantee acceptance into any loan program or specific loan terms or conditions with any participating lender: loan approval standards are established and maintained solely by an individual lender; likewise, Company does not guarantee the loan terms or rates offered and made available by the participating lender through this Agreement are the best terms or lowest rates available. Borrower understands nothing contained herein shall constitute an offer or promise for a loan commitment or interest rate lock-in. 4. LIMITED LIABILITY Parties agree that Company shall not be liable for lost product, lost profit, or any other incidental or consequential damages which may result from Company or associated lender services, recommendations, or consultations under this Agreement. 5. FORCE MAJEURE The definition of „Force Majeure‟ within this Agreement, also known as, „Event of Force Majeure‟ means an event beyond the control of the Contractor and the Client, which prevents a Party from complying with any of its obligations under this Agreement, including but not limited to an act of God such as, but not limited to, fires, explosions, earthquakes, drought, tidal waves and floods; war, hostilities (whether war be declared or not), invasion, act of foreign enemies, mobilization, requisition, or embargo; rebellion, revolution, insurrection, or military or usurped power, or civil war; contamination by radioactivity from any nuclear fuel, or from any nuclear waste from the combustion of nuclear fuel, radio-active toxic explosive, or other hazardous properties of any explosive nuclear assembly or nuclear component of such assembly; riot, commotion, strikes, go slows, lock outs or disorder; or acts or threats of terrorism. Neither the Company nor the Borrower shall be considered in breach of this Agreement to the extent that performance of their respective obligations (excluding payment obligations) is prevented by an Event of Force Majeure that arises after the Effective Date. The Party (the “Affected Party”) prevented from carrying out its obligations hereunder shall provide notice to the other Party of an Event of Force Majeure upon it being foreseen by, or becoming known to, the Affected Party. 6. GENERAL PROVISIONS A. INTEREST RATES Borrower understands loan, line of credit, or credit card interest rates vary from 0% to 29.9% to be determined by the lender and based on the Borrower’s credit score and credit reports. Company has no control over interest rates and the above information is for informational purposes only and holds no guarantee or promise of an actual interest rate to be offered by any participating lender. B. LIMITED POWER OF ATTORNEY Company is not a direct financial lender. Borrower agrees and authorizes Company to coordinate a financial plan and payment schedule utilizing a limited Power of Attorney to represent the Borrower by electronically, verbal, or written means regarding the financial loan application and verification process. Company is not a lender and does not make credit decisions in connection with loans. “The Borrower undersigns as Grantor and hereby grants a Limited Power of Attorney (herein known as “Attorney-in- Fact”) to Company and its consultants. The Attorney-in-Fact shall act on behalf of the Borrowers as if the Borrower was personally present, with the respect to the following matters: 1) To the extent permitted by the law to act through an agent; 2) To obtain all forms the Attorney-in-Fact may deem necessary for the effective representation of my interest in this matter; and 3) To request and receive all documents that are alleged or claimed to be the Borrowers responsibility and to sign on the Borrowers’ behalf for the completion of business described herein. The Attorney-in-Fact shall be revoked upon: a) Resolution of the above referenced matter; b) If the Grantor does not wish to be represented any longer; and/or c) If the Attorney-in-Fact does not wish to represent the Grantor any longer. _____ Initial C. LIMITED LIABILITY Company is not an agent of the Borrower or any participating Lender. Each specific lender is solely responsible for its services to the Borrower, and the Borrower agrees that Company holds no liability for damages or costs of any type arising out of or in any way connected with the use of Company services or any lender associated with Company. Borrower agrees any lender considering a loan request may retain any loan request form or communications of the Borrower, whether or not the Borrower is approved or not approved for a loan. Borrower acknowledges Company is not liable for any decrease in FICO scores or credit ratings during the application process. Company and its lenders have the right to pull consumer credit reports and verify information in order to provide an accurate assessment of the financial loan request. By submitting a signed financial loan request, the Borrower agrees and provides an expressed invitation to each lender and its financial loan officers interested in making contact with the Borrower by telephone, text, or email at the contact information the Borrower provided, so the lenders may assist the financial transaction. Borrower agrees Company and its lenders may record calls in connection with the financial loan request. D. GOVERNING LAW This Agreement has been entered into effect in the country of the United States of America, in the State of Texas and shall be governed by, construed, and enforced in accordance with the laws of United States of America and the State of Texas. By utilizing our services, you consent to this Agreement and consent to being subject to the laws of United States of America and the State of Ohio, regardless of your physical location. If for any reason a court of competent jurisdiction finds any provision or portion of the Agreement to be unenforceable, the remainder of the terms and conditions shall continue to be in full force and effect. E. ARBITRATION Any dispute or claim arising out of or relating to this Agreement shall be settled by Arbitration in the State of Texas with said Arbitration location at the sole discretion of the Company. The Parties shall share equally (50%) all fees and costs, subject to fee-shifting in favor of the prevailing party. All decisions of the arbitrator shall be final, binding, and conclusive on all parties. Judgment may be entered upon any such decision in accordance with applicable law in any court having jurisdiction. Any claim or controversy arising out of or relating to the use of this Agreement, to the goods or services provided by the Company, or to any acts or omissions for which you may contend the Company is liable, including but not limited to any claim or controversy as to arbitrarily (“Dispute”), shall be finally, and exclusively, settled by arbitration. The arbitration shall be held before one arbitrator under the commercial arbitration rules of the American Arbitration Association ("AAA") in force at that time. The arbitrator shall be selected pursuant to the AAA rules. THIS AGREEMENT PROVIDES THAT ALL DISPUTES BETWEEN THE BORROWER AND THE COMPANY WILL BE RESOLVED BY BINDING ARBITRATION. BY SIGNING THIS AGREEMENT, THE BORROWER THUS GIVES UP ANY RIGHT TO GO TO COURT TO ASSERT OR DEFEND ANY RIGHTS. THE BORROWER ALSO GIVES UP ANY RIGHT TO PARTICIPATE IN OR BRING CLASS ACTIONS. THE BORROWER RIGHTS WILL BE DETERMINED BY NEUTRAL ARBITRATORS AND NOT A JUDGE OR JURY. F. ATTORNEY FEES Any legal action, arbitration or other proceeding brought against either party which arises out of or relating to this Agreement, the successful or prevailing party or parties shall be entitled to recover reasonable Attorney fees and other costs, including, but not limited to arbitration fees and costs, court fees and costs, consulting fees, witness fees, and expert witness fees incurred as a result of that action or proceeding, in addition to any other relief the court or arbitrator deems necessary or entitled. G. AGREEMENT BINDING ON SUCCESSOR This Agreement constitutes the entire Agreement between all parties pertaining to the subject matter contained within and supersedes all prior and contemporaneous Agreements, representations, and understandings of the parties. No supplement, modification, or amendment of this Agreement shall be binding unless executed in writing by all the parties and mailed via first class mail. Subject to the limitations on assignment set forth above, this Agreement insures to the benefit of, and is binding on the parties and them respective heirs, representatives, and/or assigns. H. WAIVER & SERVERABILITY No waiver of any provision of this Agreement shall be deemed, or shall constitute, a waiver of any other provision, whether or not similar, nor shall any waiver constitute a continuing waiver. No waiver shall be binding unless executed in writing by the party making the waiver. If any provision of this Agreement is declared invalid or unenforceable, in whole or in part, for any reason, it is the intent of the Parties that all the other provisions of this Agreement, or portions of them, be construed to remain fully valid, enforceable, and binding on the parties. 7. ENTIRE AGREEMENT This Agreement contains the entire Agreement and understanding of the Parties with respect to the subject matter hereof and takes precedence and replaces all prior discussions, agreements, proposals, understandings, whether orally or in writing, between the parties related to the subject matter of this Agreement. This Agreement may be changed, modified or amended only in a written agreement that is duly executed by authorized representatives of the Parties. If any provisions hereof are deemed to be illegal or unenforceable by arbitration or a court of law, the remainder of the Agreement shall be strictly enforced and shall be enforceable without reference to the unenforceable provision. IN WITNESS WHEREOF, the Parties hereto have duly entered and executed this Agreement as of the day and year first above written and represent and warrant that the Parties executing this Agreement on their behalf is duly authorized. Print Name__________________________________________________ Borrower Signature___________________________________________ Date_______________________________________________________
Yes
17
Applicant Signature* This field is required.
18
Driver's LicenseMust be valid
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