Business Credit Application

Business Credit Application

Complete the application for Infinity Capital Solutions and submit any required documents for review.
Business Information
Legal Business Name
Tax ID (EIN)
Business Structure
State of Incorporation
Date of Incorporation

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Business Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Years at Current Address
Year the Business Began Operations
Industry
Business Website
Other Businesses Owned
Business Contact
Primary Contact Name

First NameLast Name
Primary Contact Title
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Bank and Trade References
Primary Bank Name
Primary Bank Officer Name

First NameLast Name
Primary Bank Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Primary Bank Phone
Please enter a valid phone number.Format: (000) 000-0000.
Second Bank Name
Second Bank Officer Name

First NameLast Name
Second Bank Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Second Bank Phone
Please enter a valid phone number.Format: (000) 000-0000.
Trade Reference 1 Company Name
Trade Reference 1 Contact Name

First NameLast Name
Trade Reference 1 Business Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Trade Reference 1 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Trade Reference 2 Company Name
Trade Reference 2 Contact Name

First NameLast Name
Trade Reference 2 Business Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Trade Reference 2 Phone
Please enter a valid phone number.Format: (000) 000-0000.

Financing Request
Requested Financing Amount
Intended Use of Funds
Additional Details About Your Request
Business Financials As Of

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Cash
Total Assets
Total Liabilities
Sales Year to Date
Net Income Year to Date
Comments
Personal Financials As Of

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Cash and Savings
Marketable Securities
Home Value
I rent
Mortgage Balance
Personal Taxes Paid Through (year)

Principal Information
Principal 1 Full Name

First NameLast Name
Principal 1 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Principal 1 Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Principal 1 Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Social Security Number
Principal 1 Driver's License Number
Principal 1 Driver's License State
Add a second principal
Principal 2 Full Name

First NameLast Name
Principal 2 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Principal 2 Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Principal 2 Driver's License Number
Principal 2 Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Principal 2 Social Security Number
Principal 2 Driver's License State

Documents and Signature
Business Bank Statements (last 3 months)

Cancelof
Equipment Quote or Invoice

Cancelof
Business Tax Returns (last 2 years)

Cancelof
Profit & Loss and Balance Sheet (YTD)

Cancelof
Personal Tax Returns (last 2 years)

Cancelof
Driver's License (front)

Cancelof
Other Documents

Cancelof
Authorization

By signing below, you are providing "written instructions" to Infinity Capital Solutions under the Fair Credit Reporting Act authorizing Infinity Capital Solutions to obtain information from your personal credit profile or other information from Xactus. You authorize Infinity Capital Solutions to obtain such information solely to conduct a pre-qualification for credit.
Applicant Certification Signature
Printed Name of Signer

First NameLast Name
Infinity Capital Solutions is a commercial finance broker, not a lender.
Should be Empty:

Owners and History