Application
Business Details
Business Legal Name
*
Business Start Date
*
-
Month
-
Day
Year
Date
Business Phone
-
Area Code
Phone Number
Entity Type
*
Sole Proprietor
Partnership
Corporation
LLC
Industry
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Federal EIN #
*
Back
Next
Application
Owner Information
Name of Applicant
*
First Name
Last Name
E-mail of Applicant
*
Mobile Phone Number
*
-
Area Code
Phone Number
Address of Applicant
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Social Security Number
*
Applicant DOB
*
-
Month
-
Day
Year
Date
Do you own 51% or more of the business?
*
Yes
No
Back
Next
Application
Loan Details
Gross Monthly Revenue
*
Amount Requested
*
Use Of Funds
Bank Statements
Upload a File
Please upload a minimum of 4 months business bank statements or email requested documents directly to your representative.
Cancel
of
Back
Next
Application
Outstanding Loans
Do you currently have any outstanding business loans?
*
Yes
No
Lender(s) Name(s)
*
Balance(s)
*
If multiple, please correspond with above.
Back
Next
Submit Application
*
By checking this box and signing below I agree to authorize Dynamic Capital as stated.
Date
*
-
Month
-
Day
Year
Date
Signature
*
Submit my application
Should be Empty: