CAPITAL RESOURCE MANAGEMENT

CAPITAL RESOURCE MANAGEMENT
Email: Leasehere@aol.com

Phone: 630-420-2020
COMMERCIAL FUNDING APPLICATION
INSTRUCTIONS:
1. Review and complete the form as thoroughly as possible to expedite your funding decision.
2. We will reach out to you if we need any clarification.
3. If you have multiple locations, please mention it in the notes field at the end.
Thanks!
Your Capital Resource Team!
Legal Business Name
DBA
Business Address

Street

Street Address Line 2

CityState

Zip Code
Equipment Location if different from above
PH
Extension
Fax
Type of Business:

ProprietorshipPartnershipCorporation
Federal ID Number / FEIN / EIN
If your SSN, leave blank
Business Contact
Contact Title
Nature of your Business and Use of Equipment
Date YOU Started Business

MonthDayYear
Date
# of Employees
PRINCIPALS / OWNERS OF THIS BUSINESS
Owner 1 Legal Name
Home Add
City, ST, Zip
Cell Ph#
SSN
Legal Title
Ownership Percent
E mail
example@example.com
Is there a 2nd Owner?

Yes
Owner 2, Legal Name
Owner 2, Street Address
Owner 2, City, ST, Zip
Owner 2, Cell Ph#
Owner 2, SSN
Owner 2, E mail
example@example.com
Owner 2, Legal Title
Owner 2, Ownership Percent
BUSINESS BANK REFERENCE(S)
if none, click Personal and use your personal bank info.

Personal
1) Bank Name
Open Date

MonthDayYear
Date
Ph#
Is there a 2nd Business Bank?

Yes
2) Bank Name
Bank 2, Open Date

MonthDayYear
Date
Bank 2, Ph#
EQUIPMENT SUPPLIER
Contact
Ph #
Detailed Equipment Description
Approximate Cost
RELEASE: By signing below, the individual as principal of and/or guarantor for the applicant, authorizes Capital Resource Management, its designees, representatives, assigns or potential assigns, to obtain his/her/their personal credit profile provided by national credit bureaus and other references provided in considering this application and for the purpose of the update. renewal, or extension of credit or merchant cash advance to the Applicant or the collection of any resultant accounts. Additionally, I authorize all deposit, borrowing. and trade information to be released to same. An electronic copy of this authorization shall be valid as the original. To the best of my knowledge, all of the information contained herein is accurate and true.
SIGNATURE (Owner 1)

Clear
Date

MonthDayYear
Date
SIGNATURE Owner 2

Clear
Date

MonthDayYear
Date
Notes
Should be Empty:

CAPITAL RESOURCE MANAGEMENT

COMMERCIAL FUNDING APPLICATION

PRINCIPALS / OWNERS OF THIS BUSINESS