ARSENY - APPLICATION

First Line Funding Application
Amount Requested*
Use of Funds*
Business Legal Name*
DBA Name*
Tax ID Number*
Business Phone Number *
Business Website
Company Type*
State of Incorporation*
Business Start Date*

MonthDayYear
Date
Industry Type*
Annual Revenue*
Business Address*
Do you have current business advances/loans?*
Owner Information
Name*

First NameLast Name
Mobile Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Date of Birth*

MonthDayYear
Date
Social Security Number*
SSN
Home Address*
Ownership %*
Is there an additional owner?*
Current Lending Info*
Do you own Real Estate?*
Property Info
Property Address*

Street Address

Street Address Line 2

CityState

Zip Code
Property Type*
Square Footage*
Purchase Date*

MonthDayYear
Date
Purchase Price*
Current Value*
# of Units*
# of Parcels*
Occupancy*
Is there current property debt?*
Lien Holder(s)*
Upload Most Recent Mortage Statement

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Co-Owner Info
Don't know the rest of the co-owner's info?
I would like to send an email invitation to the additional owner so they can complete and sign the application.
CO Name*

First NameLast Name
CO Ownership Percentage*
CO Date of Birth*

MonthDayYear
CO SSN*
CO Email*
CO Mobile Number*
Format: (000) 000-0000.
CO FICO Score*
Upload Bank Statements

Updated 3-4 months bank statements with a month to date for the current month
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Owner Signature*

Clear
Co-Owner Signature*

Clear
Unique ID
Should be Empty:

Property Info