Powerwash.com Finance Form

Powerwash.com
Business Legal Name*
Please enter the name exactly as it appears on your proof of business document
Applying as*

Sole ProprietorPartnershipCorporationLLCStart-up
Industry:*
Business Start Date*

MonthDayYear
Annual Revenue*
If Start-up, please estimate
Federal Tax ID (EIN)*
If no EIN, use SSN for business owner
Business Address - If Home Based, use Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Business Email*
Primary Phone Number*
Mobile/Textable Number*
Amount of Funding needed*
Brief Description of Equipment Needed*

Owner's Name*

First NameLast Name
Date of Birth of Owner*

MonthDayYear
Social Security Number of Owner*
Estimated Personal Credit Range
Drivers's License Number*
State of DL Issue*
Ownership Percentage*
Owner Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Years in Business
Enter the total years you have been legally operating that can be documented
Photo Identification of Owner - Front

Upload a File
Unexpired, government issued photo ID Cancelof
Photo Identification of Owner - Back

Browse Files
Unexpired, government issued photo ID Cancelof
Proof of Business and Ownership

Upload a File
Official Document listing the business name and owner(s) name Cancelof
Optional Business Info or Additional Comments
Should be Empty: