Let's get started with your funding application.
Tell us something about yourself.
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Zipcode
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Amount Requested
*
Use of Funds
*
Please Select
Business Working Calendar
Business Expansion
Purchase Inventory
Purchase Equipment
Project Financing
Marketing
Debt Consolidation
Payroll
Other
Terms and Conditions
*
By checking this box and selecting Continue the Borrower agrees to authorize LendSpark Business Financing to contact the Borrower at the telephone, cell phone, email or direct mail contact data provided in this form for purposes of fulfilling this inquiry about business financing, even if the Borrower has previously indicated a preference of "do not call" or "do not email" with a government registry or with LendSpark Business Financing. Also, the Borrower agrees that we may deliver a response to the pre-approval request to the email address provided. By agreeing to communicate with LendSpark Business Financing about this pre-approval request by email, the Borrower agrees to retain (whether by printing or saving electronically) the communications and documents that we email. If the Borrower is unable to print or retain the information, or wishes to revoke the agreement to be contacted about this qualification inquiry by email, the Borrower agrees to call LendSpark Business Financing at (760) 660-4355.
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Tell us more about yourself
Name
*
First Name
Last Name
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
Social Security
*
Ownership Percent
*
Business Title
*
Please Select
Owner
CEO
President
Other
How did you find us?
Please Select
Google
Collegue
Social Media
Vendor Referral
LendSpark Team Member: Pete
LendSpark Team Member: Steve
LendSpark Team Member: Paul
LendSpark Team Member: Chris
LendSpark Team Member: Todd
LendSpark Team Member: Lauren
LendSpark Team Member: Sarah
LendSpark Team Member: Danielle
Other
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Tell us about your business
Business Legal Name
*
Business D/B/A Name
*
Tax ID
*
Business Zip Code
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
EIN
*
Employer Identification Number
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Tell us more about your business
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Incorporation Type
*
Please Select
S-Corp
C-Corp
Limited Liability Company
Limited Partnership
Limited Liability Partnership
Sole Proprietorship
Other
State of Incorporation
*
Business Start Date
*
Type of Business
*
Please Select
Agriculture
Automotive Repair
Automotive Sales & Gas Service Station
Business Services
Communications
Construction & Contractors
Eating & Drinking Places
Educational Services
Entertainment Services
Faith Based Organization
Finance
Food & Beverage Stores
Freight
Health Services
Hotels & Lodging
Insurance
Legal Services
Manufacturing
Mining & Natural Resources
Miscellaneous Services
Personal Services
Real Estate
Retail
Storage
Transportation
Wholesale
Other
Own/Lease Property
Please Select
Own
Lease
Average Monthly Revenue
*
Average Daily Bank Balance
Open MCA/Loan Balance
Please Select
No other open Loans/MCA
Yes
Website
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Signature
Title
*
Please Select
Owner
CEO
President
Other
Today's Date
-
Month
-
Day
Year
Date
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