Blue Mountain Capital

Blue Mountain Capital

Application
Business Information
Business Name
Business EIN
Business Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Annual Revenue
Entity Type
Industry Type
Website
Do you accept credit cards?
How much money are you looking to finance?
Have you taken out any loans in the past 12 months?
If yes, are they paid off?
Don't worry we can still help you if you're not paid up and or have defaulted in the past.
Loan balance
What is the current balance on the loan(s) you have out. If you don't have any loans out, please leave blank.
Business Address

Street Address

Street Address Line 2

CityState

Zip Code

Blue Mountain Capital

Loan Application
Owner Information
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2

CityState

Zip Code
DOB

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
SSN
Ownership
Credit Score
If you are unsure, don't worry we will confirm with a soft credit pull.
Do you own real estate?
Estimated real estate value?

Partner Information
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState

Zip Code
DOB

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
SSN
Ownership

Bank Statements
File Upload

Cancelof

By signing below, each of the above listed business and business owner/officer (individually and collectively, “you”) certify that you are authorized to sign on behalf of the named business, all information and supporting documentation submitted with this application are true, correct and complete and all such information may be relied upon by Blue Mountain Capital Funding Group (“BMCFG”) and the Recipients (defined below). You hereby authorize Blue Mountain Capital Funding Group (“BMCFG) and each of its representatives, successors, assigns, designees and third-party funding partners which includes lenders and other finance brokers with whom BMCFG has, or may in the future enter into, commercial brokerage-financing relationships (“Recipients”) that may be involved with or acquire commercial loans having daily repayment features or purchases of future receivables including Merchant Cash Advance transactions:(1) to obtain consumer or personal, business and investigative reports and other information about you, including hard and/or soft credit pulls, from one or more consumer reporting agencies, such as TransUnion, Experian and Equifax;(2) to obtain credit card processor statements and bank statements from banks, creditors and other third parties; (3) to obtain the release, by any creditor or financial institution, of any information relating to you, to any Recipients; and (4) to transmit this application form, along with any of the foregoing information obtained in connection with this application, to any or all Recipients for the foregoing purposes. You further certify that should any of the foregoing information change, to the extent within your knowledge, that you will promptly notify BMCFG of such changes. A copy of this authorization may be accepted as an original whether sent via email or facsimile.
Owner 1 Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Owner 2 Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Should be Empty:

Blue Mountain Capital

Business Information

Blue Mountain Capital

Owner Information

Partner Information

Bank Statements