ECP Business Capital Application
Questions? Call: (859) 549-5158 or visit: ecplending.com
Business Name
*
E-mail
*
example@example.com
Phone Number
*
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Industry Type
*
Federal Tax ID
*
Business start date under current ownership
*
-
Month
-
Day
Year
Date
State of Incorporation or Organization
*
What type of loan are you interested in?
*
Please Select
Business Term Loan
Merchant Cash Advance
Business Line of Credit
SBA Loan
Consolidation
Collateralized Loan
How much capital do you need?
*
Please Select
15k-25k
25k-50k
50k-100k
100k-250k
250k-500k
500k-1m
1m+
How soon do you need funding?
*
Please Select
24-48 Hours
1-2 Weeks
3-4 Weeks
4 Weeks +
Do you have any open merchant cash advance or business loan accounts?
*
Yes
No
Lender Name & Balance
Lender Name & Balance
Lender Name & Balance
Merchant/Owner Information
Name
*
First Name
Last Name
Title
*
Ownership Percentage
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
SSN
*
Credit Score
*
Date of Birth
*
-
Month
-
Day
Year
Date
Second Owner's Information
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
SSN
Date of birth
-
Month
-
Day
Year
Date
Signature
Please Upload The Last 4 Months of Statements
Bank Statement 1 (PDF)
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Bank Statement 2 (PDF)
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Bank Statement 3 (PDF)
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Bank Statement 4 (PDF)
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*
The Company and the undersigned principal owner of the Company identified above (“Applicant”) represents, acknowledges, and agrees that (1) all information and documents provided to ECP Business Capital (“Provider”) are true, accurate, and complete, (2) Applicant will immediately notify Provider of any change in Applicant's financial condition, (3) Provider is authorized to submit this Application and all supporting documents provided by Applicant to its affiliates, representatives, successors, assigns, designees, agents, partners, and third-party financial institutions for the purpose of considering commercial financing offers to Applicant (collectively "Recipients"), (4) such Recipients are authorized to request and receive any investigative reports, consumer credit reports, statements from creditors or financial institutions, verifications of information, or any other information that Recipients deem necessary in considering this Application, (5) the undersigned represents that they are authorized to sign this form on behalf of the Company, and (6) THE COMPANY AND PRINCIPAL CONSENT TO RECEIVE CALLS, TEXTS, AND EMAILS FROM PROVIDER AND RECIPIENTS BASED UPON THE CONTACT
Signature
*
Submit
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