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1-903-224-2274
underwriting@moneyfortruckers.com
Contact Us
About Us
Products
Factoring
Equipment Financing
Business Credit
Personal Credit
Insurance
Resources
Business Solutions.
Apply Now
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Business Loan & Equipment Application
Referring Broker:
business information
Legal Business Name:
DBA (if different):
Legal Entity:
Corp
LLC
Sole Prop
LP
Other
Date Business Established: (MM/DD/YYYY):
Physical Address:
Mailing Address:
Business Phone:
Business Fax:
Mobile
E-mail:
website:
Tax ID Number or Business Number:
Terminal/POS Make/Model:
Property Ownership:
Lease
Own
Years in Control:
Months in Control:
Products Sold:
Landlord / Mortgage Company Name:
Landlord Contact Name:
Landlord / Mortgage Company Phone:
Rent / Mortgage Payment: $
Has the business or any principal ever filed for Bankruptcy Protection?
Yes
No
Are there any pending, threatened, or recently filed claims, judgments or tax liens against the business or any principals?
Yes
No
COMPANY INFORMATION
Average Monthly Card Sales: $
Total Monthly Sales: $
Annual Gross Sales: $
Desired Funding Amount: $
Use of Funds:
Current Loan/Advance Balance?
Yes
No
Yes: *Balance $
Held With:
No Current
Yes
No
Loan/Advance:
OWNER / PRINCIPAL INFORMATION
Name
Title:
% of Ownership:
Home Address:
Home Phone:
Cell Phone
E-Mail
Date of Birth (MM/DD/YY):
Social Security or Social Insurance#:
Drivers License #:
Drivers License State or Province of Issuance:
By signing below, the Merchant and its Owners / Principals certify that all information and documents submitted in connection with this Application are true, correct and complete. Additionally, authorize Enterprise Lender's Broker or any of its agents, partners, and affiliates to (1) obtain and use non-business consumer credit reports and any other information regarding the Merchant and its Owners and Principals from third parties, to verify any information provided on the Application; and (2) to obtain the 12 most recent monthly reports detailing Merchant’s payment card processing activity from its card processor or any agent or other third party utilized by that processor to authorize, clear and/or settle payment card payments. The products offered by SB Loans can be either Business Loans or Merchant Cash Advances. These Products are not consumer loans. Business Loans provided by third parties and subject to lender approval
Owner/Principal Signature:
Date
Print Name:
SEND
