PowerHouse

Business Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Privacy Policy: https://www.powerhouselending.co/privacy

Term of Service: https://www.powerhouselending.co/terms
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Industry Type
Federal Tax ID
Business start date under current ownership

MonthDayYear
Date
State of Incorporation or Organization
What type of loan are you interested in?
How much capital do you need?
How soon do you need funding?
Do you have any open business financing or loan accounts?
Lender Name & Balance
Lender Name & Balance
Lender Name & Balance
Owner Information
Name

First NameLast Name
Title
Ownership Percentage
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
SSN
Credit Score
Date of Birth

MonthDayYear
Date
Second Owner's Information
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
SSN
Date of birth

MonthDayYear
Date
Please Upload The Last 4 Months of Statements
Bank Statement 1 (PDF)

Cancelof
Bank Statement 2 (PDF)

Cancelof
Bank Statement 3 (PDF)

Cancelof
Bank Statement 4 (PDF)

Cancelof
By signing, each of the above listed businesses and business owner/officer (individually and collectively, "you") certify that all information and documents submitted in connection with this application are true, correct, and complete. You authorize Powerhouse Lending LLC and its representatives, successors, assigns, and designees to: (1) obtain consumer and/or personal, business, and investigative reports and other information about you, including credit pulls (hard or soft), from one or more consumer reporting agencies, such as TransUnion, Experian, and Equifax; (2) obtain credit card processor statements and bank statements from banks, creditors, and other third parties; (3) use the information submitted and obtained in connection with this application to process, evaluate, and service your financing request; (4) the release, by any creditor or financial institution, of any information relating to any of you, to Powerhouse Lending LLC on its own behalf. You intend to sign this Application electronically and consent to transacting business with Powerhouse Lending LLC electronically. You understand that consent to conduct business via electronic signatures is not a condition of approval. You may opt out of electronic communications by contacting Powerhouse Lending LLC at garret@powerhouselending.co. Your signature above certifies that you are authorized to sign this application on behalf of the Business and all the information contained herein is complete, true, and accurate.
Signature
Should be Empty:

Owner Information

Second Owner's Information

Please Upload The Last 4 Months of Statements