BetterGetFunded Application
Business Name
*
Name
*
First
Last
Date of Birth
*
-
Month
-
Day
Year
Date
Home Address
*
#, Street, City, State, Zip Code
E-mail
*
example@example.com
Phone
*
Monthly Revenue (USD)
*
EIN #
*
Social Security #
*
% Of Ownership
*
Business Address
*
#, Street, City, State, Zip Code
Type of Entity
*
LLC
Non-Profit
Sole Proprietorship
Partnership
Corporation
LLP
Years in Business
*
1 Year
2 Years
3 Years
4 Years
5-10 Years
10+ Years
Type of Business
*
Retail
Restaurant
Healthcare
Construction
Service
Signature
*
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Better Get Funded, Inc.
Applicant and applicants named officer or owner, named above, each authorize Better Get Funded, Inc. its assignees, agents, banks or financial institutions to obtain an investigative or consumer report from a credit bureau or a credit agency and to investigate the references provided on this application or any other statement or data obtained from applicant and applicant’s named officer or Owner for the purpose of obtaining funding throughBetter Get Funded, Inc.
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