Bridge Bay Capital Application

Application

Business Details
Business Legal Name*
Business Start Date*

MonthDayYear
Date
Business Phone

Area CodePhone Number
Entity Type*

Sole ProprietorPartnershipCorporationLLC
Industry
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Federal EIN #*

Application

Owner Information
Name of Applicant*

First NameLast Name
E-mail of Applicant*
Mobile Phone Number*

Area CodePhone Number
Address of Applicant*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Social Security Number*
Date of Birth of Applicant*

MonthDayYear
Do you own 51% or more of the business?*

YesNo

Application

co-applicant - required if less than 51% ownership*
Co-Applicant Name

First NameLast Name
Mobile Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Co-Applicant Social Security Number
Date of Birth of Co-Applicant

MonthDayYear

Application

Loan Details
Gross Monthly Revenue
Amount Requested
Use Of Funds
Bank Statements

Browse Files
Please upload a minimum of 4 months business bank statements or email requested documents directly to your representative. Cancelof

Application

Outstanding Loans
Do you currently have any outstanding business loans?*

YesNo
Lender(s) Name(s)*
If multiple, please separate with a ;
Balance(s)*
If multiple, please correspond with above.

Submit Application
Date*

MonthDayYear
Date
Signature*
Should be Empty: