BUSINESS FUNDING APPLICATION

BUSINESS FUNDING APPLICATION

After Application please email 3 months business banking statements and month to date PDF to: submissions@betterlendingnow.com
A. Business Information
Doing Business As Name*
Legal Business Name:*
Business Address*

Physical address

Street Address Line 2

CityState or Province

Zip/Postal Code
Business phone*
Fax
Contact*
Business Email*
example@example.com
Federal tax ID*
Website
# of locations*
Date business started*

MonthDayYear
Date
Length of ownership*
Years at location*
B. OWNERSHIP
Name*
Contact phone number:*
Home Address*

Street Address Line 2

CityState/Province

Postal / Zip Code
Zip/Postal Code*
Date of birth*

MonthDayYear
Date
SSN/SIN*
% Ownership of company*
*Must have 51%
C. LEASE *(Landlord Information)
Landlord name
Contact
Phone
Monthly rent
D. Business Profile
Ownership:*

Sole proprietorshipCorporationPartnershipLLC
Merchant Type: (type of business, construction, retail, service, Restaurant)*
Do you accept Credit Cards*

VisaMaster CardAmerican ExpressNoOther
E. Cash Advance
Amount requested:*
(We provide up to 2 times a companies gross monthly bank revenue)
Average Visa/Master/Card monthly sales
Average gross monthly sales*
Average ticket size*
Have you used a cash advance plan before*
If so what company did you use*
Original Balance*
Current balance:*
Current payment of daily holdback %
F. OTHER INFORMATION
What company are you currently processing with?
By signing below, the Merchant and its owners/principals: (1) certify that all information on and documents submitted in connection with this Application are true, correct, and complete; and (2) authorize Atkinson & Dougal, its agents, partners, and lenders to receive credit reports and any other information regarding the Merchant and its owners/principals from third parties, in order to verify any information provided on the Application. US soft check, CA soft with hard pull once offer is accepted.

Please email last 3 months of business banking statements and month to date all in PDF format to:

submissions@betterlendingnow.com
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

BUSINESS FUNDING APPLICATION

A. Business Information

B. OWNERSHIP

C. LEASE *(Landlord Information)

D. Business Profile

E. Cash Advance