Peakstone Capital Group - Application Form

Application From
1. Point of contact information
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Email*
Mobile phone*
SSN*
Address

Street Address

Street Address Line 2

CityState

Zip Code
By providing your contact information and signing below, you authorize Peakstone Capital Group and its agents, representatives, affiliates, successors, and assigns to contact you via phone, text, and email — including through automated dialing systems and pre-recorded messages — for informational, marketing, or transactional purposes. Standard messaging and data rates may apply. You can opt out at any time by replying "STOP" to a text, unsubscribing from emails, or contacting us directly.You also authorize Peakstone Capital Group and its partners to obtain consumer, business, and investigative reports about you from credit bureaus (such as Experian, Equifax, TransUnion, and Identity IQ), financial institutions, government agencies, and other third parties. This information may be shared with potential lenders or funding partners for the purpose of evaluating financing opportunities, including commercial loans or the purchase of future receivables.You consent to the release of relevant financial or credit information by any institution to Peakstone Capital Group and its affiliates, and you authorize Peakstone Capital Group to communicate with such parties on your behalf. Your information will be handled in accordance with our Terms of Use and Privacy Policy.
2. Company information
Company Legal Name *
DBA - Doing Business As
Tax ID*
Business start date*

MonthDayYear
State of incorporation*
Business address*
Fico score*
Business city*
Ownership %*
Business zip*
Industry
Business state*
3. Documents Upload
Upload your last 4 months of business bank statements to get a direct funding decision.

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4. Signature
By signing below, the business and its listed owner(s)/officer(s) (individually and collectively referred to as “you”) authorize Peakstone Capital Group and its representatives, affiliates, successors, assigns, and any designees involved in evaluating or providing commercial financing solutions — including, but not limited to, business loans and purchases of future receivables (“Transactions”) — to obtain consumer, personal, business, and investigative reports and related information about you. This may include bank statements, credit card processing data, and credit information from agencies such as Experian, Equifax, TransUnion, Identity IQ, and other bureaus, financial institutions, government agencies, or third parties (the “Recipients”). You further authorize Peakstone Capital Group to share this application and any information obtained in connection with it with any or all of the Recipients for purposes related to the Transactions. You consent to the release of such information by any creditor or financial institution directly to Peakstone Capital Group and the Recipients. You also authorize Peakstone Capital Group to communicate with the Recipients on your behalf and represent your interests in connection with the Transactions. Additionally, you consent to being contacted by phone, text message (including via automated systems), or email using the contact details provided above.
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Application From

1. Point of contact information

2. Company information

3. Documents Upload

4. Signature