Application

Business Funding Application

Personal Information
Name of Owner*

First NameLast Name
E-mail of Owner*
Business Phone Number*
Mobile Phone Number of Owner*
Address of Owner*
Date of Birth of Applicant*

MonthDayYear
Social Security Number*
Applicant Ownership Percentage*
Estimate Credit Score*
Name of Owner 2*

First NameLast Name
E-mail of Owner 2
Mobile Phone Number of Owner 2*
Address of Owner 2 *
Date of Birth of Owner 2 *

MonthDayYear
Date
Social Security Number of Owner 2 *
Applicant Ownership Percentage*
Estimate Credit Score*
Business Funding Application

Business Details
Entity Type
Corporation, Limited Liability Company, or Sole Proprietor
Business Name *
Business EIN *
State of Incorporation*
Business Start Date

MonthDayYear
Industry Type*
Business Location*
Business Funding Application

Financial Information
Upload Last 4 Months Bank Statements

Cancelof
Additional Bank Statement

Cancelof
Additional Bank Statement

Cancelof
Have you previously been financed?*

YesNo
Lender Name*
Financing Amount*
Financing Was For*
Business Funding Application

Loan Details
Number of W2 Employees
Business Loan Application

Submit my Application
By signing below, each of the above listed business and business owner/officer (individually and collectively, “you”) authorize Ignite Capital, Inc (“Ignite”) and each of its representatives, successors, assigns and designees that may be involved with or acquire commercial loans or purchases of future receivables including, without limitation, the application therefor (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, Identity IQ and from other credit bureaus, banks, creditors, government agencies and other third parties (the “Recipients”). You also authorize Ignite 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 Ignite and to each of the Recipients, on its own behalf and authorize Ignite to communicate with the Recipients on your behalf and represent you with the Recipients. You also authorize Ignite and each of its Recipients to contact you via text message, automated call or email message at the contact information listed above.
I agree that the information herein are true and correct*

Yes
Signature*

Clear
Signature Owner 2*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Business Funding Application

Business Funding Application

Business Funding Application

Business Funding Application

Business Loan Application