MPS - Online Application

Email

example@example.com

Business Name

Business Address

Street Address

Street Address Line 2

CityStateZip CodeCountry

Business Start Date

Date

Federal Tax ID

Legal Entity Type

Owner 1 Full Name

First NameLast Name

Owner 1 Home Address

Street Address

Street Address Line 2

CityStateZip CodeCountry

Owner 1 Date Of Birth

Date

Owner 1 Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Owner 1 Social Security Number

Owner 1 Ownership Percent

Any open judgments?

Any bankruptcy?

Any tax liens?

Is Business Seasonal?

Credit Card Sales - avg monthly amount

Is there a second owner who owns 20 to 49 percent?

Upload Supporting Documents

Please upload up to (3) bank statements. You can also send them to info@mainpointsolutions.com

Disclaimer

You understand that this application is used for informational and application purposes only and does not create an agreement to fund you or your Company (identities above). By signing below, you certify and confirm the following: (i) you are authorized to apply for funding on behalf of the Company, and (ii) all information provided herein, together with supporting documents, is true, accurate, and complete. By signing, you agree to immediately notify Main Point Solutions Inc of any changes to this information. You understand and agree that Main Point Solutions Inc and/or its agents and assignees are authorized to contact third parties to make inquiries in evaluating your application (including requesting Company and personal credit bureau reports from credit reporting agencies and other sources) or for any updates and renewals.

E-Signature

Online Application

Additional Business Information