Right Choice Capital Business Loan Application

5051 Peachtree Corner Cir 200

Norcross, GA 30092

Phone: (470)319-8620

Fax: (470)485-0101

Email: info@rightchoicecapitalinc.com
Company Information
Legal Business Name*
Doing Business As (DBA)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email*
example@example.com
Type of Entity*
Time in Business*
Year and Months
Federal Tax ID*
Type of Business*
Product / Service Sold*
Be detailed
Website Address
Owner Information
Owner Name*

First NameLast Name
Ownership % of the business*
Additional owners with more than 25% entity

YESNOOther
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Social Security Number*
Credit Score Range*
Estimated Score
Date of Birth*

MonthDayYear
Date
Phone Number

Area CodePhone Number
Partner Information
Partner Name

First NameLast Name
Ownership % of the business
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Social Security Number
Date of Birth

MonthDayYear
Date
Phone Number

Area CodePhone Number
Business Financial Information
Annual Gross Sales Amount $
Average Monthly Gross Revenue*
Average Monthly Credit Card Sales
Past / Existing Loans
Lender Name, Amount, and Term
Purpose of New Funding
What will the funds be used for?
Request New Funding Amount*
Dollar amount of your request
State / Federal Liens?

YESNO
Have you ever filed bankruptcy?

YESNO
Additional Information
Monthly Business Location Rent
Dollar Value
Time At Location
Time Remaining of Lease
Mortgage Co / Landlord
Contact Name

First NameLast Name
Phone Number

Area CodePhone Number
Reservation / Promo Code
Included in email (If Applicable)
How did you hear about us?*
Select One
By signing below, each of the above-listed applicants, certify that all information and documents submitted in connection with this funding application are true and complete to the best of my knowledge. I authorize Right Choice Capital Inc and/or any of its agents, lenders, or financial institutions and partners to obtain consumer, business, investigative reports, and other relevant information from a credit bureau or a credit agency for purpose of obtaining funding.
Applicant Signature*

Clear
Partner Signature

Clear
Please Attach

Last 3 Months Business Bank Statements
Bank Statement 1

Browse Files

Cancelof
Bank Statement 2

Browse Files

Cancelof
Bank Statement 3

Browse Files

Cancelof
Month To Date Bank Statement (individual pages)

Browse Files

Cancelof
A/R Aging Report (if available)

Browse Files

Cancelof
Misc

Browse Files

Cancelof
Misc

Browse Files

Cancelof
Should be Empty:

Company Information

Owner Information

Partner Information

Business Financial Information

Additional Information