Funding Application Form

Contact Information

Thank you for applying with Star Advance Group, Please fill out the following contact form so we can reach you with an Approval.
Applicant Name

First NameLast Name
Email Address
example@example.com
Business Phone number
Please enter a valid phone number.
Cell Phone number
Please enter a valid phone number.

Business Information
Business Legal Name
Doing Business As (D/B/A)
Legal Entity Type
Business Start Date

MonthDayYear
Date
Federal Tax ID (EIN)
Industry
Business Address

Street Address

CityState / Province

Postal / Zip Code

Owner/Principle Information - Owner 1:
Full Legal Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Social Security Number
Credit Score
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Percent Ownership
Are you a United States Citizen or Resident

Owner/Principle Information - Owner 2 (If Applicable):

If there is just 1 owner for the business please skip this step.
Full Legal Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Social Security Number
Credit Score
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Percent Ownership
Are you a United States Citizen or Resident

Upload Bank Statements

Please attach the last 3 months bank statements to the application. If you have more than one bank account open for The business, please send statements for each account. If it’s after the 15th of the month Please provide a Month to Date statement for the Current Month.
Upload Bank Statements

Cancelof

Authorization
Applicant Authorizes agent it's assignees, Star Advance Group, Banks or Financial Institutions to obtain and Receive a Credit Report from credit bureaus or credit agencies, and also to investigate the trade references, landlord and any other references provided on the application or any other documents submitted by applicant and applicant named officer or owner for the purpose of obtaining and receiving funding.
Source
Owner 1 Signature

Clear
Owner 2 Signature

Clear
By signing above, each of the above listed businesses and business owner/officer (individually
and collectively, "you") authorize Star Advance Group and each of its representatives, successors,
assigns and designees ("Recipients") that may be involved with or acquire commercial business
loans having daily/weekly repayment features or purchases of future receivables including
Revenue-Based Financing transactions, including without limitation the application therefor
(collectively, "Transactions") to obtain consumer and/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 TransUnion, Experian and
Equifax, and from other credit bureaus, banks, creditors and other third parties. You also
authorize Star Advance Group to transmit this Application, with any of the foregoing information
submitted/obtained in connection with this application, to any or all of the Recipients for the
foregoing purposes. You also consent to the release, by any creditor or financial institution, of
any information relating to any of you, to Star Advance Group and to each of the Recipients, on its own
behalf. You intend to sign this Application electronically and consent to transacting business with
Star Advance Group and its affiliates electronically. You are providing your business cell phone and
business e-mail address and hereby consent to the receipt of correspondence/messages regarding
transactions with Star Advance Group and/or its affiliates on either medium. You also hereby consent to
the receipt of text messages knowing that msg and data rates may apply (approximately 10
msgs/month). You understand that consent to conduct business via electronic signatures and to
receive text messages are not a condition of approval and you may opt-out of either/both by
contacting Star Advance Group at Info@staradvancegroup.com. Your signature above certifies that you are
authorized to sign this application on behalf of the Business and all the information contained
herein is complete, true and accurate.
Should be Empty:

Contact Information

Business Information

Owner/Principle Information - Owner 1:

Owner/Principle Information - Owner 2 (If Applicable):

Upload Bank Statements

Authorization