Bald Eagle Capital Business Application
Please fill out all applicable fields
Business Legal Name (Merchant)
*
Email Address
*
Website
Business DBA Name
Business Address
*
Suite/Floor
*
Type of Business/Industry
*
Length of Ownership
*
City
*
State
*
Date Business Started
*
Fico Score
*
Zip
*
Phone
Federal Tax ID
*
Mobile
*
FAX
Legal Entity
*
Corporation
Sole Prop
LLC
Partnership
Do you own any Real Estate
*
No
Residential
Commercial
Both
FUNDING INFORMATION
Amount Requested
*
Avg. Gross Monthly Sales
*
Do you have any current business loan balances?
*
No
Yes (Please answer the following)
What is the Total Balance?
With Which Lender(s)
Do you accept American Express as a form of payment for your business?
Yes
No
Do you have a personal American Express credit card account?
Yes
No
LANDLORD/RENT/MORTGAGE INFO
Landlord/Mortgage Company
*
Landlord Contact Name
*
Landlord Contact Phone
Rent/Mortgage Payment
*
OWNER/PRINCIPAL INFORMATION
Full Name
*
Aproxx. Credit Score
*
SSN
*
% of Ownership
*
Home Address
*
Email Address
*
DOB
*
State
*
City
*
ZIP
*
Phone
Mobile
*
ADDITIONAL BUSINESS OWNER INFORMATION
Fill only if applicable
Full Name
Aproxx. Credit Score
SSN
% of Ownership
Home Address
Email Address
DOB
State
City
ZIP
Phone
Mobile
ADDITIONAL BUSINESS OWNER INFORMATION
Fill only if applicable
Full Name
Aproxx. Credit Score
SS
% of Ownership
Home Address
Email Address
DOB
State
City
ZIP
Phone
Mobile
TERMS & CONDITIONS
By chosing Yes below, each of the above listed business and business owner/officer (individually and collectively, “you”) authorize Bald Eagle Capital and each of its representatives, successors, assigns and designees (“Recipients”) that may be involved with or acquire commercial loans having daily repayment features or purchases of future receivables including Merchant Cash Advance transactions, including without limitation the application therefore (collectively, “Transactions”) to obtain consumer or personal, business and investigative reports and other information about you, including credit card processor statements and bank statements, from one or more consumer reporting agencies, such as Trans Union, Experian and Equifax, and from other credit bureaus, banks, creditors and other third parties.
Signature (Owner)
Printed Name
Date
Signature (Additional)
Printed Name
Date
Signature (Additional)
Printed Name
Submit
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