FIRST LINE FUNDING APPLICATION

Company Info
Business Legal Name*
Business D/B/A Name*
Amount Requested*
Use of Funds*
EIN*
Legal Entity*
Phone Number*
Please enter a valid phone number.
Website
Industry Type*
Business Start Date*

MonthDayYear
Date
Company Address*

Street Address

Street Address Line 2

CityState

Zip Code
Owner Info
Owner Name*

First NameLast Name
Ownership Percentage*
Date of Birth*

MonthDayYear
Date
SSN*
Email*
example@example.com
Mobile Number*
Please enter a valid phone number.
FICO Score*
Do you have current business advances/loans?*
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

Cancelof
Is there an additional owner?*
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*
CO FICO Score*
Upload Bank Statements

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

Clear
Co-Owner Signature*

Clear
Unique ID
Should be Empty:

Company Info