Funding Application

Funding Application
Desired Loan Amount $
Annual Sales $
Equipment PurchaseExpansion of BusinessDebt ConsolidationStock PurchasePayrollOther
Contact Information
Name

TitleFirst NameLast Name
Birth Date

MonthDayYear
Social Security Number
Tax ID (EIN Number)
E-mail
example@example.com
Phone
Format: (000) 000-0000.
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
0-1 Year1-2 Years3-4 Years5+ Years
Comments
File Upload - Last 4 Months of Business Bank Statements (PDF Format)

Cancelof
Consent
By signing below, each of the above listed business andbusiness owner/officer (individually and collectively, "Applicant")certifies that Applicant is authorized to sign on behalf of the above named company, all information and supporting documentation submitted with this application is true and accurate, and all such information may be relied upon in evaluating this application. Applicant authorizes Capdeck LLC ("CD")to share this application and all supporting documentation with any of its representatives, successors, designees, and third party lenders("Assignees"). Applicant authorizes CD and all Assignees to request, receive and review any consumer of personal, business and investigative reports and other information about Applicant, including credit card 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 for the purpose of evaluating eligibility for commercial credit. Applicant also consents to the release, by any creditor or financial institution, of any information relating to any of Applicant, to CD and to each of the Assignees, on its own behalf. Furthermore, you hereby waive and release any claims against CD, all Assignees, and any information-providers arising from any act or omission relating to the requesting, receiving or release of the information obtained in connection with this application.

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Funding Application

Contact Information

Consent