Financing Application

Thank you for placing your trust in us. Please take a few minutes to complete the form. We will process your request right away.
BUSINESS INFORMATION
Legal Company Name:
As seen in your tax filing
Doing Business As:
Optional
Tax ID / EIN:
Business Start Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Industry:
Business Type

OWNER INFORMATION
Full Name:

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code

Date of Birth:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
SSN:
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Ownership Percentage:
Do you own multiples businesses?

Business Address

Street Address

Street Address Line 2

CityState

Zip Code
State

Business Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Company Website
Do you process credit cards?
Financing Amount:
Please include last 4 month of business bank statements

Cancelof
Signature
By signing above, each of the above listed business and business owner/officer (individually and collectively, "you") authorize (AP Capital Group, LLC and each of its representatives, successors, assigns and designees ("Recipients") that may be involved with or acquire commercial loans having daily repayment features or purchases of future receivables including Merchant Cash Advance transactions, including without limitation the application therefor (collectively, "Transactions") to obtain consumer and/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 (AP Capital Group, LLC) to transmit this application form, 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 you, to (AP Capital Group, LLC) and to each of the Recipients, on its own behalf. I am providing my cellphone number and hereby consent to the receipt of text messages knowing that msg. and data rates may apply. I understand that consent to receive texts is not a condition of approval. I can expect approx. 10 msgs/month. I/We certify that all the information contained herein is complete, true and accurate.
Should be Empty:

BUSINESS INFORMATION

OWNER INFORMATION