Sterling Advance - Merchant Funding Application

Business Name*

DBA*

Business Entity*

Federal Tax ID*

Business Start Date*

Date

Business Address*

Street Address

CityState / Province

Postal / Zip Code

Business Phone Number*

Merchant Name*

Home Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Ownership Percentage*

Mobile *

E-mail *

Title*

SSN*

Date Of Birth*

Date

Bank Statement 1*

Bank Statement 2*

Bank Statement 3*

Bank Statement 4*

Driver License*

Void Check*

Funding Requested*

Funding Reason*

Do you have any open merchant cash advance or business loan accounts ?YesNo

Lender Name & Balance

By signing below each of the above listed business owner/officer (individually and collectively "you"authorize Doji Capital Group Inc and each of its representatives,successors, assigns and designates ("Recipients") that may be involved with or acquire commercial loans or funding having daily repayment features or purchases of future receivables including Merchant Cash Advance Transactions including without limitation therefor (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 TransUnion,Experian and Equifax and from other credit bureaus,banks,creditors and other third parties. You also authorize Doji Capital Group Inc to transmit this application form along with any of the foregoing information obtained in connection with this application,to any or all of the recipients,on its own behalf.You also authorize Doji Capital Group Inc and each of its Recipients to contact you via text message, automated call or email message at the contact information listed above.

Heading*

Instant Funding Approval Request Form

Merchant/Owner Information

Please Upload The Last 4 Months of Bank Statements

Financial Information