Jay Parker
(305) 677-2053
jparker@businesscapital.com
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Basic Info
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Business Details
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Owner Info
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Documents
First Name*
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Last Name*
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Legal Business Name*
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Email*
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You acknowledge and agree that representatives of Business Capital, LLC may contact you using the contact information you have provided including by email and phone regarding your interest in lending or financing products and offers.
Business DBA Name*
Phone Number*
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Federal Tax ID*
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Legal Entity*
Corporation
Sole Proprietor
LLC
Partnership
Business Location*
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Office
Home
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Date Business Started*
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Website (Optional)
Street Address*
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City*
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State*
Select State
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ZIP Code*
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Social Security Number*
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Date of Birth*
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Ownership Percentage*
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By signing below, the Merchant and each of its owners/principals: (1) certify that all information and documents submitted in connection with this application are true, correct and complete; and (2) authorize Business Capital, LLC, its agents, partners, and outside funding partners to investigate Merchant's and each of its owner's/principal's financial, business and personal credit histories, including by obtaining and reviewing credit reports from one or more consumer reporting agencies such as TransUnion, Experian and Equifax, and to obtaining other relevant information from other third parties, to verify any information provided with this application.
Bank Statements (Last 4 Months)*
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