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
Business Start Date*

MonthDayYear
Federal Tax ID (EIN)*
If no EIN, use SSN for business owner
Owner Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Business Address - ONLY COMPLETE IF DIFFERENT THAN 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
Ownership Percentage*
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: