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Requested Funding Amount:
INTENDED USE OF PROCEEDS
Please explain how you plan to allocate the funds and how the investments will impact your business:
Business name (DBA):
Business legal name:
Physical business address:
Approximate annual sales:
Number of full time employees:
Full name
Date of birth
Residence address
Owner 2 Click to Add (Optional) Add owner 2
If you own 50% or more of the business and do not wish to apply for joint credit with any other owner(s), please skip Section IV. Please note that 50% or more of combined ownership percentage is required in order to be eligible for submission.
Does the merchant have any open MCA accounts YesNo
If yes, funding company name
By signing below, each of the above listed business owner/officer (individually and collectively, “You”) authorize First Down Funding and each of its representatives, successors, assigns and designees (“Recipients”) that may be involved with or acquire commercial loans having repayment features or purchases of future receivables including Merchant Cash Advance transactions, including without limitation the application therefore (collectively, “Transactions”) to obtain consumer or personal, business and investigate 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 form, along with any of the foregoing information obtained in connection with this application, to any or all of the Recipients for foregoing purposes. You can also consent to the release, by any creditor or financial institution, of any information relating to any of you, to First Down Funding and to each of the Recipients, on its own behalf.