Quickbiz Partner
Application
Name of your Quickbiz partner Rep
Legal Business name
Doing Business As
Physical Address
City
State
Zip code
Business start date
Business Phone number
Email address
Mobile number
Federal Tax Id
Legal entity
LLC
Corporation
Sole proprietorship
LLC
Amount requested
Use of funds
Owner #1 Name
Percentage of ownership
Date of birth
Social security number
Home Address
City
State
Zip code
What is your approximate credit score
Owner #2 Name
Percentage of ownership
Date of birth
Home Address
City
State
Zip code
Social security number
Approximate credit score
Do you have any open loans or Merchant cash advances ?
Please list the balance with each one
How much is your monthly credit card sales?
How much did you deposit in your business bank account last month?
Do you own a home? If so, what is its estimated value, and how much do you currently owe on it?
Owner #2 signature
By signing below, Applicant authorizes QuickBiz Partner, Corp. and its assigns, representatives, agents and affiliates to obtain a consumer report from a credit bureau or a credit agency and to investigate the references given on any other statement or data obtained from the Applicant and to transfer the information transcribed with its signatures to an affiliate’s application for the purchase of future receivables including merchant cash advance transactions,personal loans and business loans
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Owner #1 Signature
By signing below, Applicant authorizes QuickBiz Partner, Corp. and its assigns, representatives, agents and affiliates to obtain a consumer report from a credit bureau or a credit agency and to investigate the references given on any other statement or data obtained from the Applicant and to transfer the information transcribed with its signatures to an affiliate’s application for the purchase of future receivables including merchant cash advance transactions,personal loans and business loans
Clear
Date
MM
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DD
/
YYYY
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