Pathway Catalyst Application - Tom

Application Form
Business Legal Name*
Business D/B/A Name
Industry*
Legal Entity*
Business Start Date

MonthDayYear
Date
EIN*
Company Website
Company Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Business Phone *
Please enter a valid phone number.
Requested Loan Amount*
Loan Purpose*

Owner's Name*

First NameLast Name
Ownership %*
Home Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
DOB*

MonthDayYear
Date
SSN*
Email*
example@example.com
Mobile*
Please enter a valid phone number.
FICO*
MCA Balances
Add Owner

YesNo
Second Owner's Name*

First NameLast Name
Ownership%*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
DOB*

MonthDayYear
Date
SSN*
Email*
example@example.com
Mobile*
Please enter a valid phone number.
FICO*
MCA Balances

Do you own a Real estate?*

YesNo
Do you own or rent your residence?*

OwnRent
Do you own or rent your business location?*

OwnRent

Upload Bank Statements

Cancelof

By checking this box and selecting Continue the Borrower agrees to authorize Pathway Catalyst to contact the Borrower at the telephone, cell phone, email, or direct mail contact data provided in this form for purposes of fulfilling this inquiry about business financing, even if the Borrower has previously indicated a preference of "do not call" or "do not email" with a government registry or with Pathway Catalyst. Also, the Borrower agrees that we may deliver a response to the pre-approval request to the email address provided. By agreeing to communicate with Pathway Catalyst about this pre-approval request by email, the Borrower agrees to retain (whether by printing or saving electronically) the communications and documents that we email. If the Borrower is unable to print or retain the information or wishes to revoke the agreement to be contacted about this qualification inquiry by email, the Borrower agrees to call Pathway Catalyst.
Owner's Signature*

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By signing above, each of the above listed businesses and business owner/officer (individually and collectively, “you”)authorize Pathway Catalyst and each of its representatives, successors, assigns, and designees (“Recipients”) that may be involved with or acquire commercial loans having daily repayment features or purchases of future receivablesincluding Revenue-based Financing aka Merchant Cash Advance transactions, including without limitation theapplication therefor (collectively, “Transactions”) to obtain consumer and/or personal, business and investigativereports and other information about you, including credit card processor statements and bank statements, from oneor more consumer reporting agencies, such as TransUnion, Experian, and Equifax, and from other credit bureaus, banks, creditors and other third parties. You also authorize Pathway Catalyst to transmit this application form, 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 Pathway Catalyst and to each of the Recipients, on its behalf. I am providing my cell phone number and hereby consent to the receipt of text messages knowing that msg. and data rates may apply. I/We certify that all the information contained herein is complete, true, and accurate.
E-SIGN Act

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By checking this box, I agree that the electronic digitized signatures I apply on the following document are representations of my signature and are legally valid and binding as if I had signed the document with ink on paper in accordance with theUniform Electronic Transactions Act (UETA) and the Electronic Signatures in Global and National Commerce Act (E-SIGN) of2000.
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Application Form