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
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
Format: (000) 000-0000.
Mobile/Textable Number
Format: (000) 000-0000.
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: