• Auxiliary Funder Application

    "The funding department."
  • Business start date under current ownership
     - -
    2 digit month, 2 digit day, 4 digit year
  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Upload a File
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  • Upload a File
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    Choose a file
    Cancelof
  • Upload a File
    Drag and drop files here
    Choose a file
    Cancelof
  • Upload a File
    Drag and drop files here
    Choose a file
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  • Authorization and Consent:By signing below, each of the above listed business and business owner/officer (individually and collectively, “you”) authorize Auxiliary Funding 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 and/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 Auxiliary Funding to transmit this application form, 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 Auxiliary Funding and to each of the Recipients, on its own behalf. I am providing my cellphone number and hereby consent to the receipt of text messages knowing that msg. and data rates may apply. I understand that consent to receive texts is not a condition of approval. I can expect approx. 10 msgs/month. I/We certify that all the information contained herein is complete, true and accurate.

    TCPA & COMMUNICATION CONSENT: By providing your phone number and clicking 'Submit' or 'Apply Now', you explicitly consent to receive automated calls, pre-recorded messages, and SMS text communications from Auxiliary Funder. Message frequency varies. Message and data rates may apply. You can opt-out at any time by replying STOP to messages or calling 212-470-0576. Further, no mobile information will be shared with third parties for marketing purposes. 

  • Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Signature date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: