Emerald Express Financial Ltd. Funding Application

Emerald Express Financial Ltd. Funding Application

Share your business details to request a funding review.
Business Information
Legal Business Name
Operating Business Name
Business Address

Street Address

Street Address Line 2
CityProvince / StatePostal / Zip Code
Industry
Entity Type
Monthly Business Revenue
Date of Incorporation

MonthDayYear
Date
Business Number (GST/HST #)
Credit Score
Rough range is fine.
Owners Information
Full Legal Name
Owner Percentage (%)
Home Address

Street Address

Street Address Line 2
CityProvince / StatePostal / Zip Code
Date of Birth

MonthDayYear
Date
Social Insurance Number (SIN)
Requested Funding Amount
Describe your business funding needs
Do you have any unsecured debt?
Date

MonthDayYear
Date
Second Owners Information (If Applicable)

If not applicable skip this section.
Full Legal Name

First NameLast Name
Percentage (%)
Home Address

Street Address

Street Address Line 2
CityProvince / StatePostal / Zip Code
Date of Birth

MonthDayYear
Date
Credit Score
Rough range is fine.
Social Insurance Number (SIN)
Upload Business Bank Statements

Sole Proprietors can upload personal bank statements.
(most recent three months)

Upload PDF files
Cancelof
Owner(s) Signature
SIGNATURES – ALL OWNERS MUST SIGN – By signing below, the Client and its owner(s) certify that all information and documents submitted in connection with this Application are true, correct and complete. Additionally, the owner(s) authorize Emerald Express Financial Ltd. or any of its agents, partners, and affiliates to contact the above landlord, supplier, and emergency contacts, as well as obtain and use business and non-business consumer credit reports from credit reporting agencies and any other information regarding the Client and its owner(s) from third parties, both at the time of the initial funding application and at any time after the Client has received funding as long as the Merchant remains a client of Emerald Express Financial Ltd. At all times, Emerald Express Financial Ltd. will comply with the personal information collection, protection, use, sharing, and retention practices set out in the Privacy Policy
First (Or only) Owner Signature
Second Owner Signature (If applicable)
Date of Submission

MonthDayYear
Date
Should be Empty:

Emerald Express Financial Ltd. Funding Application

Business Information

Owners Information

Second Owners Information (If Applicable)

Upload Business Bank Statements

Owner(s) Signature