Direct Funds Network funding Application

Funding Application

PH: +1 855-212-7226
BUSINESS INFORMATION
LegalCorporate Name*
D/B/A
Business Phone Number
Email Address
Federal Tax ID (EIN #)*
Business Start Date*

MonthDayYear
Date
Address

Street Address Line 2
Type of Entity*
Industry
Amount Requested
Rep
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By continuing, you also consent to receive legally required notices and disclosures electronically.

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OWNER 1 INFORMATION
Name:*
Address*

Street Address Line 2
Title:
Ownership %:
SSN*
Date of Birth

MonthDayYear
Date
Cell #:
Credit Score

OWNER 2 INFORMATION
Name

First NameLast Name
Address

Street Address Line 2
Title
Ownership
SSN
Date Of Birth

MonthDayYear
Date
Credit Score
Email
example@example.com
Phone Number
Please enter a valid phone number.

Upload Bank Statements

Please upload the last 4 months of bank statements with your application. If your business has multiple bank accounts, kindly provide statements for each account. If today is after the 15th of the month, please also include a month-to-date statement for the current month.
File Upload

Cancelof

AUTHORIZATION
By signing below, each of the above listed Business Owner(s)/Officer(s)/Principal(s) and Business (individually and collectively, "You") certify that all information and documents submitted in connection with this Funding Application ("Application") are accurate, true, correct and complete; and that You will immediately notify Direct Funds Network LLC or any of its representatives, successors, assigns, designees, agents, partners, or affiliates ("Recipients") of any change in such information or financial condition. You acknowledge that the Recipients are relying on the information You provide.
You further authorize Direct Funds Network LLCand each of the Recipients that may be involved with or acquire commercial loans having daily repayment features or purchases of future receivables including Merchant Cash Advance transactions (collectively, "Transactions") to obtain consumer or personal, business, and investigative reports and other information about You, including but not limited to credit card processor statements and bank statements, from one or more consumer reporting agencies, such as TransUnion, Experian, and Equifax, and from other credit bureaus, banks, financial institutions, creditors, and other third-party service providers. You also authorize Direct Funds Network LLC to transmit this Application, along with any of the foregoing information obtained in connection with this Application, to any or all of the Recipients for the foregoing purposes.
By submitting this application, You consent to receive legally required notices, disclosures, and other communications electronically, including at the email address provided in this application.
You further authorize Direct Funds Network LLC and its lending partners to contact You via telephone (including mobile) and text message, including through the use of automated dialing systems, prerecorded messages, and artificial voice technologies, for both informational and marketing purposes, at any telephone number(s) provided in this application, even if such numbers are on any state, federal, or corporate Do-Not-Call registry. Consent is not a condition of purchase.
Owner 1 Signature*

Clear
Owner 2 Signature

Clear
Date

MonthDayYear
Date
Date

MonthDayYear
Date
Sales Representative
Should be Empty:

Funding Application

BUSINESS INFORMATION

OWNER 1 INFORMATION

OWNER 2 INFORMATION

Upload Bank Statements

AUTHORIZATION