Cell: (516) 710-5272
www.fundingforce.ai
WORKING CAPITAL APPLICATION
Company/Legal Business Name:
Doing Business AS/DBA:
Business/Physical Address (No PO Boxes):
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Phone#:
Format: (000) 000-0000.
Business Start Date:
-
Month
-
Day
Year
Date
Federal Tax ID:
Entity:
Monthly Revenue:
Industry Type:
Amount Requested
Principal Owner #1
Name
First Name
Last Name
Credit Score:
Ownership%:
Home Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
SSN:
D.O.B.:
-
Month
-
Day
Year
Date
Principal Owner #1 Signature
Print Full Name:
Attach Most Recent Bank Statement
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Attach 2nd Most Recent Bank Statement
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Attach 3rd Most Recent Bank Statement
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By signing, each of the above listed business and business owner/officer (individually and collectively, "you") authorize Funding Force Ai LLC and each of its representatives, successors, assigns and designees ("Recipients") that may be involved with or acquire commercial loans hereby daily revenue features or purchases of future receivables including Merchant Cash Advance transactions, including without limitation the application therefore (collectively, "Transactions") to obtain consumer or personal, business and investigative reports and other information about you, including credit card processor statements and bank statements, from one or more consumer reporting agencies, such as TransUnion, Experian and Equifax, and from other credit bureaus, banks, creditors and other third parties. You also authorize Funding Force Ai LLC to transmit the application to, along with any of the foregoing information obtained in connection with this application, to any or all of the recipients for the foregoing purposes. You also consent to the release, by any creditor or financial institution, of any information relating to any of your accounts or credit facilities to Funding Force Ai LLC and to any of the Recipients. You have the right to receive a copy of any consumer report obtained by Funding Force Ai LLC. You may contact Funding Force Ai LLC at the above address or phone number within 60 days from the date you are notified of the credit decision. You have the right to obtain a written statement of reasons for the denial within 30 days of receiving your request for the statement.
Date:
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