Olde Oaks Capital – Business Funding Application

Olde Oaks Capital – Business Funding Application

Takes 5–7 minutes • No obligation • Secure submission
Funding Request

Tell us about your business and how much funding you’re looking for.
By submitting this application, you authorize Olde Oaks Capital to review your information and share it with potential funding partners for evaluation. This application does not obligate you to accept funding.
Funding Amount Requested*
Legal Business Name*
As registered with the state
DBA/ Trade Name (if any)
Business Phone Number*
Please enter a valid phone number.
Primary Contact Name*

First NameLast Name
Mobile Phone*
Please enter a valid phone number.
Email Address*
example@example.com
Time in Business*
Average Monthly Revenue (last 3 months)*
Do you accept credit or debit card payments*

YesNo

Owner Information

Information for the primary business owner.
Owner Full Name*

First NameLast Name
Ownership Percentage*
Owner Mobile Phone
Please enter a valid phone number.
Owner Email Address
example@example.com
Date of Birth*

MonthDayYear
Date
SSN (Last 4 Digits)*
Used for identity verification only
Home ZIP Code*
Are there any additional owners with 20% or more ownership?*

YesNo
Additional Owner Information

Information for any additional owner with 20% or more ownership.
Name*

First NameLast Name
Ownership Percentage*
Date of Birth*

MonthDayYear
Date
SSN (Last 4 Digits)*
Used for identity verification only
Home ZIP Code*

Authorization & Consent

Please review and authorize the submission of your application.
By submitting this application, you authorize Olde Oaks Capital and its funding partners to obtain and review business and personal information necessary to evaluate financing options, including credit reports, bank statements, and related records.

You certify that the information provided is true and accurate and that you are authorized to apply for financing on behalf of the business. Submission of this application does not constitute an obligation to accept funding.

You consent to receive communications regarding this application by phone, text message, and email.
I have read and agree to the authorization and consent above.*

I Agree
Authorized Signer*

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Signer Title*
Date Signed*

MonthDayYear
Date
Should be Empty:

Funding Request