Enter basic information
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Legal Business Name
*
As seen in your tax filing
DBA
Optional
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
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Enter personal information
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Address
*
Name
Street Address
City
State / Province
Postal / Zip Code
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Enter Business information
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Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Tell us more about your business
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Legal Business Structure
*
Corporation
LLC
Partnership
Non-Profit
Sole Proprietor
LLP
Business Start Date
*
Please Provide at least month & year
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Verify identity and ownership
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Date Of Birth
*
-
Month
-
Day
Year
Date
Social Security Number
*
Federal Tax ID (9 Digits)
*
Percent Ownership (%)
*
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Upload 3 Months Business Bank Statements
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Getting your funding fast starts with a quick upload! Please follow these easy steps:
Locate Your Statements: Make sure they're saved as PDFs from your bank.Drag & Drop: Simply drag each file and drop it in the space below.Alternatively, Click to Upload: If you prefer, use the 'Choose File' button below to select and upload.
Please upload last four (4) Months bank statement
Browse Files
Drag and drop files here
Choose a file
If you have more than one bank account, please include statements for all bank accounts
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Last Step: Certify and agree to terms and conditions
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By signing below, each of the above-listed business and business owners (individually and collectively, “Applicant”) certify that all information provided in the application is true and accurate. Applicant shall immediately Millenium Capital Group of any change in such information. Applicant authorizes Millenium Capital Group to share this application and such other information as obtained hereunder with each of its representatives, successors, assigns, designees and third-party funding partners, which includes lenders and other finance providers with whom Millenium Capital Group has, or may in the future enter into, commercial-brokerage-financing relationships (collectively, “Recipients”). Further, Applicant authorizes Recipients: (i) to request and receive any consumer, business, and/or investigative reports about or of Applicant, from one or more consumer reporting agencies, including but not limited to TransUnion, Experian, and Equifax; (ii) to request and receive such other information from third parties in connection with underwriting Applicant including but not limited to credit card processor statements and bank statements; and (iii) to transmit this form, along with any of the foregoing information obtained in connection with this application, to any Recipient and/or third party as provided by law.
Signature
*
Submit
Submit
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