Business Funding Application
To ensure a prompt response, please fill in the fields and upload documents accurately.
Business Legal Name
*
EX: ABC Towing, LLC
DBA (Doing Business As) - If applicable
Legal Entity
*
Sole Proprietorship
Partnership
Corporation
LLC
Other
Federal Tax ID
*
EIN - Must be 9 digits
Business Start Date
*
-
Month
-
Day
Year
Business Phone Number
*
Business Phone Number
Business Address
*
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
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
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Owner/Principal Information
Name of Business Owner
*
First Name
Last Name
Home Address
*
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
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
E-mail of Business Owner
*
example@example.com
E-mail of Business Owner
Mobile Phone Number of Business Owner
*
Phone Number
Mobile Phone Number of Business Owner
Phone Number
% of Ownership
*
Social Security Number
*
Date of Birth of Business Owner
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
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31
Day
Please select a year
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
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1974
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1911
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1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Year
Estimated Credit Score
2nd Owner/Principal Information
Name of Business Owner
First Name
Last Name
Home Address
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
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
E-mail of Business Owner
example@example.com
E-mail of Business Owner
example@example.com
Mobile Phone Number of Business Owner
Phone Number
Mobile Phone Number of Business Owner
Phone Number
% of Ownership
Social Security Number
Date of Birth of Business Owner
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Year
Estimated Credit Score
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Business & Financial Information
Please answer a few basic questions about your business.
Business Description
*
Do you rent or own your business space?
*
Rent
Mortgage/Owned
Use of Funds?
*
Purchase Inventory
Cover Payroll
Buy Equipment
Hire More Staff
Expansion
Marketing
Manage Cash Flow
Other
Total Monthly Sales (all forms of revenue)
*
$5,000-$10,000
$10,001-$25,000
$25,001-$50,000
$50,001-$100,000
$100,000 or more
Do you currently have funding from another Lender?
*
Yes
No
What is the Lender's Name?
Current Balance?
Please let us know what you are looking for.
*
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Bank Statements & Signature Verification
Please upload your 3 most recent business bank statements and verify applicant details.
Please upload your 3 most recent business bank statements here:
*
Upload a File
Drag and drop files here
Choose a file
Latest 3 months bank statements & month-to-date required
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By signing this application, I confirm that all the information provided is accurate and truthful. I hereby grant authorization to Can I Have Money LLC and its representatives, successors, assigns, and designees ("Recipients") involved in commercial loans, including daily repayment features or purchases of future receivables such as Merchant Cash Advance transactions, to obtain consumer and/or personal, business, and investigative reports. This includes accessing information from consumer reporting agencies such as TransUnion, Experian, Equifax, as well as other credit bureaus, banks, creditors, and third parties.I also authorize Can I Have Money LLC to share this application form, along with any information obtained in connection with this application, with the aforementioned Recipients for the purposes stated above. Furthermore, I consent to the release of any information relating to myself or my business by any creditor or financial institution to Can I Have Money LLC and the Recipients, on their behalf.I acknowledge that I am providing my business cell phone number and business email address, and I hereby consent to receiving correspondence and messages regarding transactions with Can I Have Money LLC and/or its affiliates through either medium. I also understand that I may receive text messages, acknowledging that message and data rates may apply. I acknowledge that consent to receive texts is not a condition of approval. I can anticipate approximately 10 messages per month. I/we certify that all the information provided herein is complete, true, and accurate.
*
Yes
Applicant Signature
*
Date
*
-
Month
-
Day
Year
Please verify that you are human
*
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