X Funding Group

X Funding Group
X Funding Group
Office: 516-386-3064
Submissions@XFundingGroup.com
Funding Application
Business Legal Name:
Doing Business As:
Legal Entity:
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:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Physical Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I authorize X Funding Group LLC to send me text, email, and other messages related to my application and the services I have requested, including status updates, approvals, and other communications necessary to process my request. Message and data rates may apply. Reply STOP to stop text messages; use the unsubscribe link to stop emails. This consent is required to submit my application.
I would also like to receive text, email, and other messages from X Funding Group LLC about new products, services, promotions, and future approvals I may qualify for, beyond my current application. This consent is optional and not required to receive service related to my application. Message and data rates may apply. Reply STOP to stop text messages; use the unsubscribe link to stop emails.

For X Funding Group LLC's Privacy Policy and Terms and Conditions, please see https://xfundinggroup.com/privacy-policy/
Owner / Principal Information
Name:

First NameLast Name
% of Ownership:
Home Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email:
example@example.com
Mobile:
Format: (000) 000-0000.
Date of Birth:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Social Security #:
Credit Score:
2nd Owner / Principal Information (if applicable)
Name:

First NameLast Name
% of Ownership:
Home Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email:
example@example.com
Mobile:
Format: (000) 000-0000.
Date of Birth:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
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:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Upload Bank Statements

Cancelof
Should be Empty:

X Funding Group

Funding Application

Owner / Principal Information

2nd Owner / Principal Information (if applicable)

Funding Information

Authorization Form