Dynamic Capital - Application
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      Merchant Application Form  

  • Please Review & Act on These Documents

    Please feel out this Form and then click submit to process your Digital Signature for the Application Please remember to attach any supporting documentation, such as recent bank statements, in the upload section at the last section of the application.
  • Date of Birth*
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  • Format: (000) 000-0000.

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  • Business Information

  • Application Name Date
     - -
  • Type of Business Entity

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  • Business Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

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  • About the Business

  • Business Location
  • Do you process Credit Cards?
  • Format: (000) 000-0000.

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  • About the Business

  • Does the Owner have any open MCA or loan accounts?
  • Business Start Date of Current Ownership*
     / /

  • Additional Information

  • Format: (000) 000-0000.
  • Is your business Seasonal ?
  • Any Open Bankruptcies?
  • Any Judgments / Liens?

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  • Second Owner

    About the Second Owner
  • Second Owner Date of Birth
     / /

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  • Trade References

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

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  • AUTHORIZATIONS

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  • By signing below, each of the above listed business and business owner/officer (individually and collectively, "you") authorize [Dynamic Capital] ("DC") and each of its representatives, successors, assigns and designees ("Recipients") thatbeinvolved with or acquire commercial loans having daily repayment features or purchases of future receivables including Merchant Cash Advance transactions, including without limitation the application therefor may (collectively, "Transactions") to obtain consumer or personal, business and investigative reports and other information about you, including credit 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 DC to transmit this application form, along with any of the foregoing information obtained in connection with this application, to any or all of 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 DC and to each of the Recipients, on its own behalf. CONSENT TO TELEPHONE CALLS: You expressly consent to receiving marketing and other calls and messages. to landline, wireless or similar Devices. including auto dialed and pre-recorded message calls. and SMS messages (including text messages) from. Recipients. at telephone numbers that you have provided. Message and data rates may apply. Your consent to receive marketing is not required for your application; if you do not consent do not provide phone number. CONSENT TO ELECTRONIC DISCLOSURES: You expressly consent to transactions and disclosures with Recipients online and electronically. Disclosure will be provided to you either on the screen, on Recipients website or via electronic mail to the email address you provided. WITHDRAWING CONSENT: You may withdraw consent for telephone calls or electronic disclosures by calling Dynamic's Customer Service (305) 249-1444 or emailing Info@dynamiccap.com Application Checklist: 1. Application Completed & Signed Owner / Officer's Signature: 2. 4 Most Recent Business Banking Statements Date (M/D/YY) Owner / Officer's Name: (Print) Agent Name:

  • Please upload your business last 3 months Bank Statements

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  • Signature Date
     / /

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