Cashify Capital Application
Business
Legal Business Name
*
DBA (If Different)
Business Start Date
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
EIN
*
Entity Type
*
Sole Prop
LLC
Corp
Other
Primary Owner
Name
*
First Name
Last Name
Birthday
*
-
Month
-
Day
Year
Date
SSN
*
Email
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
% Of Ownership
*
Approximate Credit Score
*
Please Select
550-600
600-650
700-750
750+
Secondary Owner
Name
First Name
Last Name
Birthdate
-
Month
-
Day
Year
Date
SSN
Email
Cell Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Approximate Credit Score
Please Select
550-600
600-650
650-700
750+
% Of Ownership
Funding
Current Lender:
Current Lender:
Approximate Balance
Approximate Balance
Desired Funding Amount?
Signature
Primary Owner Signature
*
Today's date
*
-
Month
-
Day
Year
Date
Secondary Owner Signature
Today's date
-
Month
-
Day
Year
Date
Business Bank Statements
Last Month Business Bank Statement
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of
2 Months Old Business Bank Statement
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of
3 Months Old Business Bank Statement
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of
4 Months Old Business Bank Statement
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Continue
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