Anchor Blue Capital / Business Funding Application

Anchor Blue Capital / Business Funding Application
Business Information
Legal Business Name
DBA/Trade Name (if applicable)
Type of Business
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone
Please enter a valid phone number.Format: (000) 000-0000.
Business Email Address
example@example.com
Do You Own the Business Location
Time in Business (months/years)
Business Formation Date

MonthDayYear
Date
Tax ID (EIN or SSN)
Used for funding qualification (kept secure)
Secretary of State
Is your business currently active with your state (Secretary of State)
What is your Credit Score
Owner Information
Full Name (Required)

First NameLast Name
Owner Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Owner Phone
Please enter a valid phone number.Format: (000) 000-0000.
Owner Email Address
example@example.com
Date of Birth

MonthDayYear
Date
Ownership %
Social Security Number
Required for funding approval (secure & encrypted)
Do you own your home
Funding Information
Monthly Revenue
Monthly Credit Card Sales
Requested Funding Amount
Use of Funds
Do You Own Any Investment Properties
Do you currently have any active business loans or advances?
Current Business Loans (if any)
Upload Last 4 Months of Business Bank Statements (PDF)

This helps us match you with the best funding options faster. Your documents are secure and only used for funding approval.
Cancelof
By signing below, the Merchant and Owner(s) authorize Anchor Blue Capital LLC and its representatives to obtain and review consumer and business credit reports, bank statements, and other financial information, and to share such information with third-party lenders, funding partners, and financial institutions for the purpose of evaluating this application for business financing.

The Applicant certifies that all information provided is true, accurate, and complete and agrees to notify of any material changes.
Authorized Signature
By submitting this application, you agree to be contacted by Anchor Blue Capital LLC and its funding partners via phone, text message, and email regarding your financing options. Submission does not guarantee approval or funding. All approvals are subject to underwriting and final review by third-party funding providers. Anchor Blue Capital LLC is a business financing broker and not a direct lender.
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Anchor Blue Capital / Business Funding Application

Business Information

Owner Information

Funding Information