BUSINESS VERIFICATION UNLOCK YOUR BUSINESS DREAMS – SECURE FUNDING FROM $5,000 TO $750,000 INSTANTLY! Business Information Business Legal Name * Invalid value "Your official business name. Find this on your bank statement or tax return. (example: BestFoods LLC)" Business DBA Name Invalid value "Are you doing business as a different name? (example: Best Foods Cafe)" TAX ID/EIN * Invalid value "(field format XX-XXXXXXX) - This identification number can be found on your business license or at the top of your tax return" Type of Business Entity (Select One) Corporation Invalid value Limited Liability Company Invalid value Partnership Invalid value Limited Partnership Invalid value Limited Liability Partnership Invalid value Sole Proprietor Invalid value Does the Business have any other loan accounts? (Select One) Yes Invalid value No Invalid value Approximate Business Start Date * MM-dd-yyyy Invalid value State Province of Incorporation * -Select- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Invalid value Type of Loan Working Capital Loan Invalid value This loan provides you with the funds needed to cover all your business's needs, like inventory, payroll, and rent. It supports your business's growth by offering a significant approved amount, of which you can use only what's necessary, effectively managing new business opportunities while maintaining smooth operations. Equipment Loan Invalid value Tailored for your business, this loan helps finance the purchase of new or used equipment, including vendor and private party sales. You select the equipment that suits your needs, and we provide the financing. Enjoy flexible 5-year loans with convenient 60-month repayment terms. Line of Credit Invalid value A flexible funding option that acts as a financial safety net for your business. With a pre-approved credit limit, you can draw funds as needed and only pay interest on the amount used. It's ideal for managing cash flow, handling unexpected expenses, or taking advantage of timely business opportunities, giving you the agility to respond quickly to your business's changing needs. Physical Address * Street Address City Zip Code Invalid value -Select- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Invalid value State/Province Billing Address Street Address (If Different Than Above) City Zip Code Invalid value -Select- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Invalid value State/Province Physical Location Phone # * Number Invalid value Billing Location Phone # Number Invalid value Owner Officer "Are you the owner? Even though this is a B2B (business-to-business) loan application, an owner's information is required to qualify. Funded loans will NOT show up on the personal credit report" Name * First Name Last Name Invalid value Owner Title * Invalid value "i.e. CEO, President, Owner" Percent Owner * Invalid value Email * Invalid value Secondary Email Invalid value SSN/SIN # * Invalid value "(Social Security Number format XXX-XX-XXXX)" Date of Birth * MM-dd-yyyy Invalid value Mobile Phone * Number Invalid value Home Address * Street Address City Zip Code Invalid value -Select- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Invalid value State/Province Authorizations * By signing below, each of the above listed business and business owner/officer (individually and collectively, "you") authorize Business Funds Marketplace ("BFM") and each of its representatives, successors, assigns and designees ("Recipients") that may be involved with or acquire commercial loans having daily, weekly, bi-monthly and credit line repayment features or purchases of future receivables including Merchant Cash Advance transactions, including without limitation the application 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 BFM 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 for the foregoing purposes. Terms and Conditions: By checking this box, you are agreeing to receive recurring messages from Business Funds Marketplace related to your request for information. Message and Data rates may apply. Carriers are not liable for delayed or undelivered messages. Text help for help & stop to unsubscribe. Privacy Policy Invalid value By providing your phone number above, you agree to receive text messages (e.g., payment reminders) fromBusiness Funds Market Place at the cell number used when signing up. Consent is not a condition of any purchase. Message frequency varies. Reply STOP to unsubscribe, HELP for help. Message & data rates may apply. Message frequency varies. Invalid value Submit