Application

Legal/Corporate Name/DBA

Physical Address

DBA

Mailing Address

Applicant #1

Address

TAX ID/EIN

Contact Email

SSN #

Ownership %

Cell Phone

DOB

Business start month/year

Driver's Lic. #

State

Applicant #2

Address

Ownership %

SSN #

Cell Phone

Contact Email

DOB

Type of Business

Gross Annual Sales

Time in Business

Approximate Experian/Equifax FICO Score

Do you own or rent a Home?

Bank Statements

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Bank Statements

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Bank Statements

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Bank Statements

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If past the 15th of the month include month to day transactions here

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Opt-In / Terms of service

By providing your phone number, you agree to receive text messages (e.g., payment reminders) from NYC Funding Group at the cell number used when signing up. Consent is not a condition of any purchase. Reply STOP to unsubscribe, HELP for help. Message & data rates may apply. Message frequency varies

Long answer

By signing below, each of the above listed business and business owner/officer (individually and collectively, “you”) authorize [NYC Funding Group] and each of its representatives, successors, assigns and designees (“Recipients”) that may be involved with or acquire commercial loans having daily 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 NYC Funding Group] 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. You also consent to the release, by any creditor or financial institution, of any information relating to any of you, to NYC Funding Group] and to each of the Recipients,<br><br>By Clicking on Send, you agree to terms of use <br><a href="https://newyorkcityfundinggroup.com/privacy-policy-2/">Privacy Policy</a><br> and <br>In addition by submitting this form you give consent to NY Funding Group to send SMS related messages with the latest funding deals. <br>you may receive up to 1 message per week. For Help, text us at (718)-838-3338. To unsubscribe, send Stop. Standard message and data rates may apply

Signature

Date

YYYY

Applicant #2 Signature

Date

YYYY

Product name

$0.00

Replace this with the description of your product.

First / Last name

Verification