First Harbors application
Owner 1 full name
*
First Name
Last Name
Business legal / corporate name
*
Amount Requested
*
USD — enter an amount greater than zero, using digits and up to two decimal places. No commas or dollar sign.
Business EIN
*
Enter the business EIN: two digits, a hyphen, then seven digits. Do not enter a personal Social Security number.
DBA / trade name (if applicable)
Business physical street address
*
Business city
*
Business state
*
Business ZIP code
*
State of incorporation / formation
*
Business fax (optional)
Business website (optional)
Ownership & structure
Tell us about ownership and business structure.
Owner 1 title
*
Owner 1 length of ownership (years and months)
*
Is your business mailing address different from the physical address?
*
Please Select
Yes
No
Is there an additional business owner?
*
Please Select
Yes
No
Owner 2 full name
*
Owner 2 title
*
Owner 2 length of ownership (years and months)
*
Owner 2 cell phone
*
Business mailing address — street, city, state, ZIP
*
Business entity type
*
Please Select
Sole proprietor
Partnership
Corporation
LLC
Other
Business start date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Contact & callback
Choose how and when we can reach you.
Email Address
*
example@example.com
Business telephone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Owner 1 cell phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred callback date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Requested callback time; a representative will confirm availability.
Preferred callback time
*
Hour Minutes
AM
PM
AM/PM Option
Preferred callback time zone
*
Please Select
Eastern Time (America/New_York)
Central Time (America/Chicago)
Mountain Time (America/Denver)
Arizona Time (America/Phoenix)
Pacific Time (America/Los_Angeles)
Alaska Time (America/Anchorage)
Hawaii Time (Pacific/Honolulu)
Atlantic Time (America/Puerto_Rico)
UTC
Documents & signature
Upload your statements, confirm communication consent, and sign.
Business bank statements — last four completed months
*
Browse Files
Drag and drop files here
Choose a file
Upload one complete PDF statement for each of the last four completed months. PDF only; maximum 10 MB per file.
Cancel
of
Communication opt-in
*
I agree to receive calls, text messages, and emails from First Harbors about my application at the contact information I provided.
Applicant signature
*
Signature date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Send Inquiry
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