Encrypted US Funding LLC Funding Application

US FUNDING LLC Funding Application

Complete the ENCRYPTED Form below to be considered for funding
Business Entity Information
Business Legal Name*
Business Trade Name or DBA
If applicable
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone Number

Area CodePhone Number
State of Organization*
Business Start Date*

MonthDayYear
Date
Business EIN*
Legal Structure*
Percentage of Ownership*
Is there a Co-borrower (required if 20% ownership or more)?*

YesNo
What is your title at the business?*
CEO, Managing Partner, Director, etc.
Industry*
How much funding are you requesting?*
What is the Gross Monthly Revenue for the business?*
What is most important to you*
Borrower's Information
Primary Contact Name*

First NameLast Name
Primary Contact Email*
example@example.com
Primary Contact Cell Phone Number*

Area CodePhone Number
Primary Contact Residential Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your Credit Score Range?*

720 or higher680-719620-679600-619580-599580 or below
Social Security Number*
Eligibility Questions
Have You Ever Defaulted on a Government Loan? (i.e. SBA Loan, Student Loan, etc.)*

YesNo
Do you have any current business loans or funding?*

YesNo
In a paragraph please explain why you need funding. *
How will you using the funds: payroll, rent, inventory, etc.
Add First Current Month Business Bank Statement*

Browse Files

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Add Second Month Current Business Bank Statement*

Browse Files

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Add Third Third Current Business Bank Statement*

Browse Files

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How do you prefer to be reached?*

PhoneEmailText
Thank you for providing yourresponses. By submitting this application, you acknowledge that everything is true and correct to the best of your knowledge. After you select SUBMIT below, your application will be reviewed by US FUNDING LLC, the information will be forwarded or filled out as needed to our approved lending partners for funding that best fits your needs. Appplicant authorizes agent, it's assignees, US FUNDING LLC, banks and or financial institutions to obtain and Receive a Credit Report from Credit Agencies, and also to investigate the trade references, landlord and any other references provided on the application documents submitted by the applicant and applicant's named officer(s) and or owner and or for the purpose of obtaining and receiving funding. PLEASE SIGN, DATE & SELECT SUBMIT BELOW.
Name*

First NameLast Name
Date*

MonthDayYear
Date
Should be Empty:

US FUNDING LLC Funding Application

Business Entity Information

Borrower's Information

Eligibility Questions