CWF Intake Application

CWF Intake Application

Austin - Info@capitalworksfunding.com
Please fill in the form below, along with the last 3 months of business bank statements. By signing below, you certify that all information and documents submitted in connection with this application are true, correct, and accurate.

Incomplete applications will not be processed.
Business Contact Information
Business Legal Name:
DBA:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone:
Please enter a valid phone number.Format: (000) 000-0000.
Website:
Business Information
Legal Entity:
State Of Organization:
Federal Tax ID:
Business Start Date:

MonthDayYear
Date
Industry Description/SIC:
Type Of Product Sold:
Was Business Purchased From A Previous Owner?
Date Current Ownership Started:

MonthDayYear
Date
Financial Information
Annual Business Revenue:
Avg. Monthly Credit Card Volume:
Number of Business Bank Accounts:
Average Daily Bank Balance:
Do You Have Any Outstanding Loans Or Advances?
Outstanding Loan / Advance Balance:
Amount Requested:
Purpose Of Funds Requested:
Property Detail
Do You Own The Business Property?
Monthly Rent/Mortgage:
Are You Current With Rent/Mortgage?
Landlord Name:

First NameLast Name
Landlord Phone:
Please enter a valid phone number.Format: (000) 000-0000.
Remaining Length Of Lease:
Owner/Principal Information (Owner 1)
Name:

First NameLast Name
Date Of Birth:

MonthDayYear
Date
Home Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Social Security Number:
Email:
example@example.com
Mobile Number:
Please enter a valid phone number.Format: (000) 000-0000.
Are You The Sole Owner?
Percentage Of Ownership:
Are You A:
Owner/Principal Information (Owner 2)
Name:

First NameLast Name
Date of Birth:

MonthDayYear
Date
Home Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Social Security Number:
Email:
example@example.com
Mobile Number:

MonthDayYear
Date
Percentage of Ownership:
Are You A:
Files to Upload
Driver's License Front/Back:

Cancelof
Voided Check:

Cancelof
Last 3 Months Bank Statements:

Cancelof
Owner Signature 1
Owner Signature 2
Should be Empty:

CWF Intake Application

Business Contact Information

Business Information

Financial Information

Property Detail

Owner/Principal Information (Owner 1)

Owner/Principal Information (Owner 2)

Files to Upload