Brown Funding - Application

  • Funding Application

  • Date Business Started*
     / /

  • Owner/Principle Information (Owner 1)

  • Date of Birth*
     / /
  • Format: (000) 000-0000.
  • Are you the primary business owner?
  • Second Owner?*

  • Owner/Principle Information (Owner 2)

  • Date of Birth*
     / /
  • Format: (000) 000-0000.

  • Funding Information

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  • Have you ever modified payments or defaulted on a previous loan before?
  • What type of financing are you seeking?
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  • By signing this Application, the Merchant and its owners/principals:

    (1) certify that all information and documents submitted in connection with this Application are true, correct, and complete; and

    (2) authorize Brown Funding LLC, its agents, partners, and lenders to obtain credit reports and any other information regarding the Merchant and its owners/principals from third parties for the purpose of verifying any information provided in this Application.

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