Merchant Financing Funding Application

Merchant Financing Funding Application

This application should take 5 to 10 minutes to complete if you have all information available. We ask for basic personal and business information, such as your Social Security Number, Federal Tax ID, and your last three business bank statements.
Your Name*

First NameLast Name
Mobile Phone Number*
Please enter a valid phone number.
Email*
example@example.com

Business Information

Next step, we need to know more details about your business.
Legal Business Name*
Do you do business under a different name?*

YesNo
Doing Business As Name
Business Address*

Street Address

Street Address Line 2

CityState

Zip Code
State Incorporated*
Entity Type*
Business Industry*
Federal Tax ID*
Your Federal Tax ID can be found on the top right of your business tax return.
Business Start Date*

MonthDayYear
Date
Business Phone Number
Please enter a valid phone number.
Business Website
This can include any kind of online presence.

Owner Information

Almost there! We need to know a bit more about you to consider your application.
Your Address*

Street Address

Street Address Line 2

CityState

Zip Code
Social Security Number*
We use your Social Security Number to help confirm your identity and conduct a soft credit inquiry. Applying will not impact your personal credit score.
Date of Birth*

MonthDayYear
Date
Credit Score*
Your Ownership %*
Owner #2 Information

If you own less than 50% of your business, we need to know additional information about the person who owns the next largest percentage of the business.
Owner #2 Name

First NameLast Name
Owner #2 Mobile Phone
Please enter a valid phone number.
Owner #2 Email
example@example.com
Owner #2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Owner #2 Social Security Number
We use your co-owner's Social Security Number to help confirm their identity and conduct a soft credit inquiry. Applying will not impact their personal credit score.
Owner #2 Date of Birth

MonthDayYear
Date
Owner #2 Credit Score
Owner #2 Ownership %

Funding Plans

You have goals. We want to help you get there. We need to know more about your funding background to assess what will be the right fit for your company.
Do you currently have a business loan or merchant cash advance outstanding?*

YesNo

Current Outstanding Balance(s)

Requested Funding Amount*
Providing this information upfront will help us review your application faster.
Reason for Funding*

Upload Business Bank Statements

Please upload your last three months' business bank statements below. Applications without these documents will not be processed.
Business bank statement #1

*PDF format required
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Business bank statement #2

*PDF format required
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Business bank statement #3

*PDF format required
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Additional documentation

Anything you believe will provide additional context for our team.
Cancelof

Your Signature*

Clear
Owner #2 Signature

Clear
Date Submitted

MonthDayYear
Online Authorization

Each of the undersigned, who is either a Principal, Sole Proprietor or Personal Guarantor of the above-named business, recognizes that his or her individual credit history may be a factor in the evaluation of this application of the above named business for funding. Each of the undersigned hereby authorizes Merchant Financing (MF) and its assigns and/or affiliate partners of MF to obtain his or her credit report (and any updates to his or her credit report) in connection with 's consideration of this application and any affiliate partners of MF in connection with any subsequent review of the account of the abovenamed business. Each of the undersigned hereby authorizes MF to utilize information including but not limited to calls, emails, texts and direct mail for marketing efforts from MF and/or its affiliate partners.
Should be Empty:

Minimum Funding Criteria