Let's Get You Funded! Application

Let's Get You Funded!

Pre-Qualification Funding Form.
Name of Applicant

First NameLast Name
E-mail of Applicant
example@example.com
Phone number of Applicant
Format: (000) 000-0000.
Mobile Phone number of Appliicant
Format: (000) 000-0000.
Fax Number of Applicant
Format: (000) 000-0000.
Address of Applicant

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth of Applicant

MonthDayYear
Do you currently rent or own your home?
How many years have you lived at your current address:
Upload a copy of your Driver License:

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Upload a copy of your Social Security Card:

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Employment & Income Verification

This information helps us assess your stability and funding capacity.
Employment Status:
Employer or Business Name:
Current Job Title:
Monthly Gross Income (Before Taxes):
Length of Employment/Business Operation:
Do You Receive Additional Sources of Income?
If "Yes." Please Specify Additional Income Source(s):
Have you filed taxes in the last 2 years? If so, how much gross income did you report for personal & business?
Do you have proof of income? Paystubs, Business bank accounts, taxes, etc. Which ones:

Credit Profile Information

Provide a snapshot of your current credit standing to help us pre-qualify you accurately.
Do You Have a Credit Report Pulled Within the Last 30 Days?
If "Yes," Upload a Copy of Your Credit Report (PDF):

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Estimated Credit Score Range:
Do You Have Any Negative Items on Your Credit Report?
Number of Active Credit Cards:
Average Credit Card Utilization:

Business Questionnaire

Complete this section if you're applying for business funding ONLY. (Not Personal Funding)
Are You Applying for Business or Personal Funding?
If "Business," Business Name:
Business EIN (If Applicable):
Years in Operation:
Annual or Monthly Business Revenue:
Business Entity Type:

Other
Business Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please upload a copy of your IRS EIN Letter:

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Please upload a copy of your Articles of Incorporation:

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Debt & Liabilities

Tell us about any current obligations so we can accurately calculate funding capacity.
Do You Have Any Existing Loans or Credit Lines?
List Type(s) and Approximate Balances:
Do You Have Any Past-Due Accounts or Defaults in the Last 12 Months?
Have You Ever Filed for Bankruptcy?
If "Yes," When Was It Discharged?

Banking Information

Used for Identity verification and direct deposit assessment.
Primary Bank Name:
How Long Have You Had This Account?
Monthly Average Balance:

Authorization & Agreement

You must authorize credit review before we can proceed with your application.
I, the undersigned client, hereby authorize DDH Business Firm, LLC and it's designated representatives to act on my behalf for the purpose of obtaining, reviewing, verifying, and submiting information necessary for funding, credit review, and related financial services.

This authorization includes, but is not limited to:
- Communicating directly with lenders, creditors, or financial institutions regarding my credit and funding applications.
- Providing supporting documentation, business information, or financial records as required.
- Receiving status updates or correspondence related to applications submitted on my behalf.
I understand that this authorization does not permit DDH Business Firm, LLC to open new credit accounts, access my funds, or make financial decisions without my expressed written consent.

This authorization shall remain in effect until revoked in writing by me. I certify that the information I have provided is true and accurate, and I grant permission for DDH Business Firm, LLC to use it solely for business funding and credit purposes.
I have read and agree to authorize DDH Business Firm, LLC to represent me as stated above."
Name

First NameLast Name
Signature
Date

MonthDayYear
Date
Should be Empty: