Atkinson & Dougal

Atkinson & Dougal

Business Application

Ownership: Must have 51% ownership
Name of Applicant*

PrefixFirst NameMiddle NameLast Name
Business E-mail of Applicant*
Phone number of Applicant*

Area CodePhone Number
Home Address of Applicant*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
YesNo
Current Approximate Credit Score:*
Date of Birth:*
SIN/SSN*

Lease (Landlord Information)

For business not personal
Landlord Full Name:
Phone Number
Monthly Rent:

Business Banking Statements

4 Months of PDF Business Banking Statements
Upload Statement

Upload a File

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Upload Statement

Upload a File

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Upload Statement

Browse Files

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Upload Statement

Upload a File

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YesNo
Lender Name*
Balance or Hold back*
Other Merchant cash advances please put company name and balance:

Business Loan Application

Loan Details
Average gross monthly sales*
Average ticket size:*
average spend per transaction*
Requested Loan Amount*
Business to CustomerBusiness to Business
YesNo
YesNo
YesNo

Business Loan Application

Submit my Application
By signing below, the merchant and it's principals 1) certify that all information on and documents submitted in connection with this application and true, correct, and complete; and (2) authorize Atkinson & Dougal, partners, lenders, and it's agents to recieve credit reports and any other information regarding the merchant and it's owners/principals from third parties, in order to verify any information provided on the application.

I agree that my digital signature below will be held as a legal authorized signature.
Yes
Signature

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