Application for Funding (form)

Application for Funding
Business Details

Type "N/A" if the required field is not applicable.
LEGAL BUSINESS NAME
DBA NAME
STREET ADDRESS
SUITE / FLOOR
CITY, STATE, ZIP
FEDERAL / STATE TAX ID (EIN)
MAIN PHONE NUMBER
Format: (000) 000-0000.
BUSINESS START DATE

MonthDayYear
Date
GROSS ANNUAL SALES
WEBSITE
EMAIL
example@example.com
BANKRUPTCY OR TAX LIENS (BRIEF EXPLANATION)
DO YOU HAVE AN EXISTING DAILY OR WEEKLY PAYMENT LOAN?
DO YOU OWN YOUR HOME
WHAT IS THE BALANCE OF YOUR EXISTING LOAN?
LEASE OR MORTGAGE
AVERAGE MONTHLY SALES
LANDLORD / LENDER CONTACT (PHONE OR EMAIL)
Format: (000) 000-0000.
AMOUNT REQUESTED
PURPOSE OF FINANCING
Owner Details (First Owner/Officer)
NAME
TITLE
Address

STREET ADDRESS

Street Address Line 2

CITY, STATE, ZIPState / Province

Postal / Zip Code
PHONE NUMBER
Format: (000) 000-0000.
PERCENTAGE OF OWNERSHIP
DATE OF BIRTH

MonthDayYear
Date
SOCIAL SECURITY NUMBER
Owner Details (Second Owner/Officer - if applicable)
NAME
TITLE
Address

STREET ADDRESS

Street Address Line 2

CITY, STATE, ZIPState / Province

Postal / Zip Code
PHONE NUMBER
Format: (000) 000-0000.
PERCENTAGE OF OWNERSHIP
DATE OF BIRTH

MonthDayYear
Date
SOCIAL SECURITY NUMBER
Please upload the past 4 months of bank statements

These must be from a Business Checking account (not stripe or square). Approvals require a minimum of $10,000 in monthly revenue/deposits each month.
Cancelof
By signing below, the Merchant and its owners / principles:
(1) certify that all information documents in connection with this application is true, correct, and complete.
(2) authorize Done-For-You Solutions LLC, and its agents, partners, and lenders to receive credit reports and any other information regarding the Merchant and its owners / principles from third parties, to verify any information provided on the application
First Owner/Officer
NAME
DATE

MonthDayYear
Date
Signature
Second Owner/Officer - if applicable
NAME
DATE

MonthDayYear
Date
Signature
Done-For-You Solutions LLC - 7901 4th St N, STE 300, St. Petersburg, Florida 33702 - P: (817) 889-2359
Should be Empty:

Application for Funding

Business Details

First Owner/Officer