Business Information
Legal Business Name
DBA
Business Address (City, State, Zip)
Business Phone Number
Business Fax Number
Email Address
Business Start Date
Federal Tax ID
Entity Type
Owner #1
Name
Title
Ownership %
Address
DOB
SSN
Home #
Cell Phone #
Owner #2
Name
Title
Ownership %
Address
DOB
SSN
Home #
Cell Phone #
UPLOAD LAST 3 BANK STATEMENTS
By signing below, each of the above listed business and business owner/officer (individually and collectively, “you”) authorize [1 Stop Capital] (“1SC”) 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 cardprocessor 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 1SC 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 1SC and to each of the Recipients, on its own behalf. By signing below, each of the above listed business and business owner/officer (individually and collectively, “you”) authorize
[1 Stop Capital] (“1SC”) 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 1SC 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 1SC and to each of the Recipients, on its own behalf.
Owner #1
Owner #2
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