FoodBizCapital Application Form

FoodBizCapital Application Form

Please fill out this information as accurately as possible to ensure a smooth process.
Legal Business Name (Merchant) *
DBA Name(If applicable)
Business Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Website
Business Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Business Start Date*

MonthDayYear
Date
Funding Amount Requested*
Average Monthly Revenue*
Business Industry Type*
Business Entitiy Type
Federal Tax ID / EIN Number*
Ownership Percentage
Typically require the primary applicant to own 51%+
Business Email Address*
example@example.com
Personal name*

Last Name
Personal Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Personal Email Address
example@example.com
Consecutive Bank Statements (Last 3 Months)*

Please upload all 3 months as a single PDF or individual files. *NOTE* Sometimes we may request up to 6 months for larger advances or borderline applications.
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Additional Notes
Secure Identity Verification: We use this to verify your identity and perform a soft credit pull that will not affect your credit score.
Birthdate*

MonthDayYear
Date
SSN*
Owner Fico Score*
*Minimum 575 Equifax score required. We perform a soft pull that does not affect your credit.
Applicant's Signature*
Should be Empty: