Business Financing Application Form

Financing Request Business Information
Corporate / Legal Name
DBA Name
Ownership Type
Legal Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is your DBA (Doing Business As) information same as Corporate/Legal?

YesNo
Business Location (if different than legal address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Federal Tax ID / EIN
When was your business founded?

MonthDayYear
Date
Website Address
Principal Information

Please the principal who, directly or indirectly, through any contract, arrangement, understanding, relationship or otherwise, own the majority or 25% or more of the equity interests of the legal entity listed in this application.
Owner Name

First NameLast Name
Title
Social Security Number
Estimated Credit Score
Date of Birth

MonthDayYear
Date
Address & Contact Information

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Email
example@example.com
Ownership %
Is this the individual management?

YesNo
Loan Type, Loan Amount and Program Requested
Credit Authorization
STREAMLINE BUSINESS FINANCING CREDIT AUTHORIZATION FORM This Credit Authorization Form (this “Form”) is submitted by “Applicant” in connection with its application for financing with STREAMLINE BUSINESS FINANCING and its affiliated lenders and financial partners. The Applicant hereby authorizes STREAMLINE BUSINESS FINANCING or its affiliates to obtain credit reports and other financial information in connection with the Applicant’s business credit application, and to share such information with other persons or entities that need it in determining financing credit approval and amount. The Applicant acknowledges that they received the disclosure below that explains their rights under the Fair Credit Reporting Act (“FCRA”). The Applicant confirms that they are authorized to provide company information and apply for financing on the company’s behalf. The Applicant also authorizes STREAMLINE BUSINESS FINANCING and its affiliates to communicate with Applicant’s employees, suppliers and other third parties as STREAMLINE BUSINESS FINANCING and its affiliates deems it necessary in connection with the Account. The Applicant warrants that all the information provided in connection with this financing application is true and correct, and hereby agrees to promptly notify STREAMLINE BUSINESS FINANCING of any changes to the information provided. By signing this form, Applicant affirms that they have read and understand the terms of this authorization and that are providing STREAMLINE BUSINESS FINANCING full written consent to obtain a credit reporting and financial information from 3rd party sources.
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Enter Information for Additional Applicant
Owner Name

First NameLast Name
Title
Social Security Number
Estimated Credit Score
Date of Birth

MonthDayYear
Date
Address & Contact Information

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Email
example@example.com
Ownership %
Is this the individual management?

YesNo

Enter Dealer Information For Equipment Purchases
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Upload Invoice
Enter Equipment Details
Streamline Business Financing, LLC

denny@streamlinebusinessfinancing.com

www.streamlinebusinessfinancing.com

425-202-5121
Should be Empty:

Financing Request Business Information

Principal Information