X Funding Group
X Funding Group
Office: 516-386-3064
Submissions@XFundingGroup.com
Funding Application
Business Legal Name:
*
Doing Business As:
*
Legal Entity:
*
Corporation
LLC
Sole Proprietorship
Federal Tax ID:
*
Business Phone:
Format: (000) 000-0000.
Business Website:
*
Mobile:
*
Format: (000) 000-0000.
Industry:
*
Email Address:
*
example@example.com
Business Start Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Physical Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I authorize X Funding Group LLC to send me text, email, and other messaging communications related to the services they provide me, including communications about future and new approvals. Such messages may vary. Message and data rates may apply. To stop text messages, reply STOP. To stop email communications, follow the unsubscribe instructions included in the email. For X Funding Group LLC's Privacy Policy and Terms and Conditions, please see the link at https://xfundinggroup.com/privacy-policy/
*
yes, I agree
no, I disagree
Owner / Principal Information
Name:
*
First Name
Last Name
% of Ownership:
*
Home Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email:
example@example.com
Mobile:
Format: (000) 000-0000.
Date of Birth:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Social Security #:
*
Credit Score:
*
2nd Owner / Principal Information (if applicable)
Name:
First Name
Last Name
% of Ownership:
Home Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email:
example@example.com
Mobile:
Format: (000) 000-0000.
Date of Birth:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Social Security #:
Credit Score:
Funding Information
What is the Capital being used for?
*
Total Monthly Sales:
*
Authorization Form
By signing below, each of the above listed business and business owner/officer (individually and collectively, "you") authorize X Funding Group LLC and each of it's representatives, successors, assigns, and designees ("Recipients") that may be involved with or acquire purchases of future receivables including Merchant Cash Advance transactions, including without limitation the application therefore, to obtain consumer or personal business and investigative reports and other information about you, induding credit card processor statements and bank statements, from consumer agencies, such as Transunion, Experian, Equifax, and from other credit bureaus, banks, creditors, and other third parties. You also authorize X Funding Group LLC to transmit this application form, along with any of the foregoing information obtained in connection with this application, to any or all 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 X Funding Group LLC and to each of the recipients, on its own behalf. You may authorize (via the checkbox below) X Funding Group LLC and its affiliates, to contact you using automatic telephone dialing systems, automated email systems, and text messaging systems in order to provide you with any information relevant to your pre-qualification, requests for funding and/or accounts u authorize X Funding Group LLC and any partners or affiliates to make such contacts using any telephone numbers (including, but not limited to, landline, wireless, and VOP numbers) or email addresses you supply.
Owner Signature:
*
Co-Owner Signature:
Print Name:
*
Print Name:
Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Upload Bank Statements
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