Charter Oak Capital Funding Application

Company Legal Business Name:*
Trading As (if different):
Business Address:*
State of Incorporation:*
LeasedOwned
Business Phone:*
Landlord Contact Name:
Email:*
Landlord Phone/Mobile:
Website:
Monthly Rent/Mortgage Payment:
Federal Tax ID:*
Avg Monthly Credit Card Sales:
Business Start Date:*

MonthDayYear
Date
Gross Annual Sales:*
Entity Type:*
Type of Product/Services Sold:*
Total Monthly Sales $:*
Credit Score*
Any bankruptcy in the last 2 years:*
Yes
Loans Balance $:*
Business Loans Held with:*
Desired Funding Amount $:*
Uses of Funds:*
Name of Owner 1:*
Percentage of Ownership:*
Mobile Phone:*
Date of Birth:*

MonthDayYear
Date
SSN:*
Home Address:*
Name of Owner 2:
Percentage of Ownership:
Mobile Phone:
Date of Birth:

MonthDayYear
Date
SSN:
Home Address:
Attach your Bank Statements ( Maximum 3 attachments allowed )

Only PDF, JPG, JPEG, PNG is allowed.
Cancelof
By Signing below I/We certify that all of the above information is true and accurate as set forth and provided. Applicant named above hereby give Charter Oak Capital Funding and/ or its affiliated companies to obtain investigative report from credit agencies and also to investigate trade references provided on this application as well as any other documents submitted by applicant for purpose of obtaining financing.
Applicant's Signature:*

Clear
Date*

MonthDayYear
Date
Partner's Signature:

Clear
Date

MonthDayYear
Date
Should be Empty: