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Application Received!

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Merchant Funding Application

For verified applicants only. Please complete all sections accurately.

Company Information

Estimated Flow Overview

Owner Information (1)

By signing & submitting this application, you certify that (i) you are authorized to apply on behalf of the company whose full legal name appears above for business funding and (ii) all information you provide within this Application and other supporting documents is true and complete and that you will notify us of material changes to such information. You understand & agree that we and our agents and assignees are authorized to contact 3rd parties to make inquires in evaluating your Application (including requesting business & personal credit bureau reports from credit reporting agencies and other sources). You understand and agree that we may provide credit & other information from the Application with 3rd parties who may use the information for any lawful purpose, including for the purpose of offering credit and/or other products & services.

Draw your signature below