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.

Owner 1 Social Security Number*

Owner 1 Ownership Percent*

Any open judgments?*

YesNo

Any bankruptcy?*

YesNo

Any tax liens?*

YesNo

Is Business Seasonal?*

YesNo

Credit Card Sales - avg monthly amount*

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

YesNo

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