US Direct Funding Application

Amount Requested*
When do you need the funds?*
Gross Monthly Sales*
Gross Annual Sales*
Desired Use of Funds*
Current Business Loan Balance(s)?

Legal Business Name *
Business DBA Name
Business Phone*
Email*
example@example.com
Business Address*

Physical Address

Street Address Line 2

CityStateProv

Zip Code
Business Start Date*

MonthDayYear
Date
Federal Tax ID*
Business Entity Type*
State Of Incorporation*

Street Address

Street Address Line 2

CityState

Zip Code
Business Industry*
Business Description*
Business Website

Primary Owner information
Owner First Name*
Owner Last Name*
Mobile Phone*
Owner Residential Address*

Home Address

Street Address Line 2

CityStateProv

ZIPPostal
Date of Birth*

MonthDayYear
Date
SSN*
Ownership %*
Primary Owner Credit Score*
Co-Owner information

(if applicable)
First Name (Co-owner)
Last Name (Co-owner)
Mobile Phone (Co-owner)
Email (Co-owner)
example@example.com
Residential Address (Co-owner)

Home Address

Street Address Line 2

CityStateProv

ZIPPostal
Date of Birth (Co-owner)

MonthDayYear
Date
SSN (Co-owner)
Ownership % (Co-owner)
Credit Score (Co-owner)
By signing below, each of the above listed business and business owner/officer (individually and collectively) you, US Direct Funding LLC and each of its representatives, successors, assigns and designees ("Recipients") that may be involved with or acquire commercial loans having daily repayment features or purchases of future receivables including Merchant Cash Advance transactions, including without limitation the application therefore (collectively, "Transactions") to obtain consumer or personal, business and investigative reports and other information about you, including credit card processor statements and bank statements, from one or more consumer reporting agencies, such as TransUnion, Experian and Equifax, and from other credit bureaus, banks, creditors and other third parties. You also authorize US Direct Funding LLC to transmit this application form, along with any of the foregoing information obtained in connection with this application, to any or all the Recipients for the foregoing purposes. You also consent to the release, by any creditor or financial institution, of any information relating to any of you, to US Direct Funding LLC and to each of the Recipients, on its own behalf.
Owner Signature*

Clear
Printed Name*
Date*

MonthDayYear
Date
Co Owner Signature (if applicable)

Clear
Printed Name (if applicable)
Date (if applicable)

MonthDayYear
Date

PLEASE UPLOAD BUSINESS BANK STATEMENTS HERE:

The most recent 4 months are required to underwrite and approve your offers:
PLEASE UPLOAD: March 2025

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PLEASE UPLOAD: April 2025

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PLEASE UPLOAD: May 2025

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PLEASE UPLOAD: June 2025

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If you have any questions or concerns, please contact us at funding@usdirectfunding.com
Should be Empty:

PLEASE UPLOAD BUSINESS BANK STATEMENTS HERE: