Let's get started with your funding application.

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.
Zipcode*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Amount Requested*
Use of Funds*
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.

Tell us more about yourself
Name*

First NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*
Social Security *
Ownership Percent*
Business Title*
How did you find us?

Tell us about your business
Business Legal Name*
Business D/B/A Name*
Tax ID*
Business Zip Code*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
EIN*
Employer Identification Number
How many years have you been in business?*
(Minimum TIB 2 years)

Tell us more about your business
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Number*
Please enter a valid phone number.
Incorporation Type*
State of Incorporation*
Business Start Date*
Type of Business*
Own/Lease Property
Average Monthly Revenue *
Average Daily Bank Balance
Open MCA/Loan Balance
Website

Signature

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Title*
Today's Date

MonthDayYear
Date
The Merchant and Owner(s)/Officers(s) identified above (individually, an “Applicant”) each represents, acknowledges and agrees that (1) all information and documents provided to LendSpark Corporation including credit card processor statements are true, accurate and complete, (2) Applicant will immediately notify LendSpark Corporation of any change in such information or financial condition, (3) Applicant authorizes LendSpark Corporation to obtain consumer, business and investigative reports and other information, including credit pulls (hard or soft), from one or more consumer reporting agencies, such as TransUnion, Experian and Equifax including credit card processor statements and bank statements from banks, creditors and other third parties to other persons or entities (collectively, “Assignees”) that may be involved with or acquire commercial loans having periodic repayment features or purchases of future receivables including Merchant Cash Advance transactions, including without limitation the application therefor (collectively, “Transactions”) and each Assignee is authorized to use such information and documents, and share such information and documents with other Assignees, in connection with potential Transactions, (4) each Assignee will rely upon the accuracy and completeness of such information and documents, (5) LendSpark Corporation, Assignees, and each of their representatives, successors, assigns and designees (collectively, “Recipients”) are authorized to transmit any investigative reports, credit reports, statements from creditors of financial institutions, verification of information, or any other information that a Recipient deems necessary, (6) Applicant waives and releases any claims against Recipients and any information-providers arising from any act or omission relating to the requesting, receiving or release of information, (7) Applicant consents to be contacted via e-mail, call and/or text-message at the e-mail address and/or phone number provided above, or at any e-mail address and/or phone number reasonably identified as belonging to you, including wireless numbers (if applicable), even if listed on a Do-Not-Call registry, using an automated telephone dialing system or other similar system with respect to this application, future-related commercial-financing opportunities and/or other lawful telemarketing purposes. and (8) each Owner/Officers represents that he or she is authorized to sign this form on behalf of the Merchant.
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Let's get started with your funding application.

Tell us more about yourself

Tell us about your business

Tell us more about your business