Salesforce Form

ShopFunder Application
Business Information
Company Name
DBA
Industry
Business Address
City
State
ZIP Code
Business Start Date

MonthDayYear
Date
Federal Tax ID
Amount Seeking
Do you have any MCAs?
Please list all Lenders and Balances
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Owner Information
Owner Name

First NameLast Name
Owner Home Address
City
State
ZIP Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Birthday

MonthDayYear
Date of Birth
Credit Score
Social Security Number
Ownership %
Is there another owner?
Second Owner Name

First NameLast Name
Second Owner Email
example@example.com
Second Owner Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Second Owner Birthday

MonthDayYear
Date of Birth
Second Owner Credit Score
Second Owner SSN
Second Owner Ownership %
Do you own Real Estate?
Mortgage Balance
Approx. Value
Type of Property

By signing below, each of the above-listed business and business owners (individually and collectively, “Applicant”) certify that all information provided in the application is true and accurate. Applicant shall immediately notify ShopFunder LLC (“ShopFunder LLC”) of any change in such information. Applicant agrees to receive autodialed and/or pre-recorded calls and text (SMS) messages from ShopFunder LLC, its affiliates, and its third-party funding partners at the telephone number(s) provided in this application. Applicant authorizes ShopFunder LLC to share this application and such other information as obtained hereunder with each of their representatives, successors, assigns, designees, and third-party funding partners, which includes lenders and other finance providers with whom ShopFunder LLC have, or may in the future enter into, commercial-brokerage-financing relationships (collectively, “Recipients”). Further, Applicant authorizes Recipients: (i) to request and receive any consumer, business, and/or investigative reports about or of Applicant, from one or more consumer reporting agencies, including but not limited to TransUnion, Experian, and Equifax; (ii) to request and receive such other information from third parties in connection with underwriting Applicant, including but not limited to credit card processor statements and bank statements; and (iii) to transmit this form, along with any of the foregoing information obtained in connection with this application, to any Recipient and/or third party as provided by law.
Signature
Second Owner Signature
Bank Statements

Cancelof
Should be Empty:

ShopFunder Application

Business Information

Owner Information