Poetry Capital Application

Poetry Capital Application

Share your business details, funding request, and contact information—then upload statements if available. Our team will follow up after review.
Funding request
Requested amount (USD)
Use of funds
Business details
Legal business name
Make sure this matches the business name on your bank statements.
DBA / trade name
EIN / Tax ID
Business phone
Please enter a valid phone number.Format: (000) 000-0000.
Website
Entity type
State of formation
Business start date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Industry
Annual gross revenue (USD)
US business address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Current business loans or advances
Current lender details
Owner information
Self-reported owner details are for informational review only and will not be used to automate decisions.
First name
Last name
Mobile phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Home address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Ownership percentage
Are there additional owners?
Additional owner details
Estimated credit score
Have you ever defaulted on prior business financing?
Default explanation
Supporting documents
Recent business bank statements

Optional: upload your most recent 3 months of business bank statements. PDF files only, up to 10 MB each. You can also provide statements later.
Cancelof
Additional comments
Authorization
Authorization acknowledgment
Signature
Signing date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Poetry Capital Application

Funding request

Business details

Owner information

Supporting documents

Authorization