Swift Capital LLC | Business Funding Application

Business Name

DBA

Business Type / Entity Type

Business Tax ID (EIN)

Enter your 9-digit business EIN (XX-XXXXXXX).

Business Website

Primary Business Email

example@example.com

Primary Business Phone

Please enter a valid phone number.Format: (000) 000-0000.

Business Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Business Country

Years in Business

Industry

Full Name

First NameMiddle NameLast Name

Title / Role

Home Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Mobile Phone

Please enter a valid phone number.Format: (000) 000-0000.

Ownership Percentage

Requested Funding Amount (USD)

Purpose of Funds

Preferred Funding Timeline

Average Monthly Gross Revenue ($)

Bank Statements Available for the Most Recent Three Months

Do you have an existing MCA Loan or Line of Credit?

Upload your most recent 3 months of business bank statements

Optional supporting documents (voided check, business license, prior financing documents)

By signing below, each of the above listed business and business owner/officer (individually and collectively, “you”) authorize Swift Capital LLC 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 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 Swift Capital LLC to transmit this application form, along 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 Swift Capital LLC and to each of the Recipients, on its own behalf.

I have read and agree to the authorization above.

Signature

Printed Name

First NameLast Name

Date Signed

Date

Swift Capital LLC | Business Funding Application

Business and Contact Information

Owner / Applicant Information

Funding Request Details

Business Revenue and Financial Profile

Document Uploads

Consent and Submission