Peak Pay

Owner(s)/Principal Information

Please provide information for all owners or principals.
Primary Owner Full Name

First NameLast Name
Primary Owner Date of Birth

MonthDayYear
Date
Primary Owner Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code

Primary Owner - Print Name
By signing below, each Business Owner, Officer, Principal, and the Business (collectively, “You”) certify that all information submitted with this Funding Application is true and complete and acknowledge that Momentum Business Capital, Inc. and its funding partners (“Recipients”) will rely on this information when evaluating potential commercial financing, including loans or purchases of future receivables (Merchant Cash Advances).You authorize Momentum and the Recipients to obtain consumer and business credit reports and other relevant information from credit bureaus (including TransUnion, Experian, and Equifax), banks, payment processors, landlords, and other third parties, and to share this Application with funding partners for underwriting or servicing purposes. You also consent to receive calls, emails, and text messages (including automated messages) regarding this Application or financing offers; message/data rates may apply and you may opt out of texts by replying STOP. A copy or electronic signature shall be deemed valid as the original.
Signature (Primary Owner)
How would you like to provide bank statements?
Please upload last 4 months Business Bank Statements

Cancelof
Date (Primary Owner)

MonthDayYear
Date
Should be Empty:

Application for Funding