SPARTAN FUNDING APPLICATION (Jennifer)

FUNDING APPLICATION
SPARTAN CAP FUND
Please complete this application and return with 6 months bank statements to receive a formal funding approval. There are no fees, charges or obligations associated with obtaining a pre-approval. Pre-approval does not constitute a funding commitment.
Business Legal Name
Business DBA Name
Business Street Address
City
Product Service Sold
State
Zip
Business Phone
Mobile
Fax
Business Email
example@example.com
Date Business Started

MonthDayYear
Date
Federal State Tax
OWNER INFORMATION
Owners Name
Owners Home Address
City State Zip
Owners Mobile Phone
Email
example@example.com
% of Ownership
Date of Birth

MonthDayYear
Date
SSN
Credit Score
OWNER #2 (IF APPLICABLE) Name:
Address

Address

Street Address Line 2

City State ZipState / Province

Postal / Zip Code
Phone
Email
example@example.com
of Ownership
Date of Birth

MonthDayYear
Date
SSN
Credit Score
Amount of Funding Requesting
Current Advances with
Purpose of Funds
By signing below, the Merchant and it's owners / principals: (1) certify that all information and documents submitted in connection with this Application is true, correct and complete; and (2) authorize Advance Cap Group and it's assignees to obtain credit reports and any other information regarding the Merchant and its owners and principals, to verify any information provided on the Application.
Owner/Principle Signature

Clear
#2 Owner/Principle Signature

Clear
Print Name
Date

MonthDayYear
Date
Print Name (Owner #2)
Date

MonthDayYear
Date
Should be Empty:

FUNDING APPLICATION