DBS Funding Group Application
Questions? Call: (347) 763-4313 or Visit: dbsfundinggroup.com
Business Name
*
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Business Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Business start date under current ownership
*
-
Month
-
Day
Year
Date
Federal Tax ID
*
Industry Type
Merchant/Owner Information
Name
*
First Name
Last Name
Home Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Ownership Percentage
*
Date of Birth
*
-
Month
-
Day
Year
Date
SSN#
*
Do you have any open merchant cash advance or business loan accounts?
Yes
No
Lender Name & Balance
Funding Product
Please Select
Term Loan
Line Of Credit
SBA
Equipment Financing
Invoice Factoring
Merchant Cash Advance
Credit Score
Please Upload The Last 4 Months of Statements
Bank Statement (PDF)
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Bank Statement (PDF)
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Bank Statement (PDF)
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Bank Statement (PDF)
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By signing below, each of the above-listed business and business owner/officer (individually and collectively, “you”) authorize DBS Funding Group LLC (“DBS Funding Group”) and each of its representatives, successors, assigns and designees (“Recipients”) that may be involved with or acquire commercial loans having daily repayment features or purchases of future receivables including Merchant Cash Advance transactions, including without limitation the application therefor (collectively, “Transactions”) to obtain consumer or personal, business and investigative reports and other information about you, including credit card processor statements and bank statements, from one or more consumer reporting agencies, such as TransUnion, Experian and Equifax, and from other credit bureaus, banks, creditors and other third parties. You also authorize DBS Funding Group to transmit this application form, along with any of the foregoing information obtained in connection with this application, to any or all of the Recipients for the foregoing purposes. You also consent to the release, by any creditor or financial institution, of any information relating to any of you, to DBS Funding Group and to each of the Recipients, on its own behalf. You also authorize DBS Funding Group and each of its Recipients to contact you via text message, automated call or email message at the contact information listed above.
Signature
*
Date
-
Month
-
Day
Year
Date
Submit
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