funding application

Business Information
Business Legal Name
Business D/B/A
Type of business

LLCCorpSole pNon profit
Nature of Buisness
Business Phone Number
Please enter a valid phone number.
Business Start Date

MonthDayYear
Date
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Federal Tax ID
Ownership Information
Owner/Officer #1

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Ownership%
Date Of Birth

MonthDayYear
Date
SSN#
SOFT PULL ONLY
What is your credit
Phone Number
Please enter a valid phone number.
Email
example@example.com
Is there a second owner
owner # 2

First NameLast Name
owner #2

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
owner # 2 date of birth

MonthDayYear
Date
SSN# of owner # 2
SOFT PULL ONLY
What is your credit OWNER 2
Do you have any current business loans if yes what are the balances
use of funds
Please upload 4 of your most recent business bank statement, drivers license, and voided check

Cancelof
Signature of owner #1

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Signature of owner#2

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Date signed
Applicant and applicants named officer or owner, Named above, each authorize cash wise capital its assignees, agents, banks or financial institutions to
obtain an investigative or consumer report from a credit bureau or a credit agency and to investigate the references provided on this application or any other
statement or data obtained from applicant and applicant's named officer or Owner for the purpose of obtaining funding through cash wise capital Now.
Should be Empty: