INTERLINK BUSINESS FINANCING Application

Legal Business Name*
Doing Business As (DBA)*
State of Incorporation*
Tax ID EIN*
Physical Business Address (No PO Boxes):
Street*
City*
State*
Zip*
**Legal Entity Type (e.g., LLC, Corporation, Sole Proprietorship):
Inception Date Date business was established*

MonthDayYear
Date
Business Phone Number*
Format: (000) 000-0000.
Industry*
Credit Score *
Current Number of Employees
Last 12 Months Revenue From Bank Deposits
Loan Amount Requested*
Any Judgements, Liens, or Bankruptcy (Yes/No):
Name of Business Owner #1*

First NameLast Name
Home Phone Number
Format: (000) 000-0000.
Email Address*
example@example.com
Business Email Address*
example@example.com
Cell Phone Number*
Format: (000) 000-0000.
Social Security Number SSN
DOB*
Home Address*
Street*
City*
State*
Zip*
Do you Rent or Own the Home?
Business Ownership Percentage*
Interlink Business Financing Application for Owner #2 If Applicable
Name of Business Owner #2

First NameLast Name
Home Phone Number
Format: (000) 000-0000.
Email Address
example@example.com
Business Email Address
example@example.com
Cell Phone Number
Format: (000) 000-0000.
Social Security Number SSN
DOB
Home Address
Street
City
State
Zip
Do you Rent or Own the Home?
Business Ownership Percentage
Collateral 1 If Applicable
Collateral 2 If Applicable
Collateral 3 If Applicable
Authorization and Signature By signing this application, I acknowledge that all information provided is accurate to the best of my knowledge. I authorize Interlink Business Financing to verify the information provided, including my credit score, as part of the application process.
Owner 1 Signature*

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Date

MonthDayYear
Date
Owner 2 Signature

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Date

MonthDayYear
Date
Should be Empty: