Section 1 of 4

Funding request

Section 2 of 4

Business information

Business address

Section 3 of 4

Owner information

List every owner with 20% or more of the business. This information is used to verify identity and review credit.

Primary owner

Section 4 of 4

Documents & signature

        Missing a document? You can still submit, and your funding specialist will request it. Photos are shrunk automatically.

        Authorization

        By signing below, each of the undersigned (the business and its owner(s)) certifies that all information in this application and any documents provided are true, accurate and complete, and authorizes FundTek Capital Group and its lending and funding partners to rely on it in evaluating this request.

        The undersigned authorizes FundTek Capital Group and its partners to obtain business and personal credit reports, bank and trade references, and other information to verify the information provided, both now and periodically for review, renewal or collection purposes. The undersigned authorizes FundTek Capital Group to share this application and supporting documents with third-party lenders and funders for the purpose of obtaining financing offers.

        The undersigned agrees to be contacted by FundTek Capital Group and its partners by phone, text message (including automated technology) and email at the numbers and addresses provided, regarding this request and related products. Consent to automated contact is not a condition of funding. Message and data rates may apply; reply STOP to opt out.

        Funding is for business purposes only. Submission of this application is not a guarantee of approval or funding.

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