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WP Forms - Application

BUSINESS INFORMATION
Please select the entity of your business
Do you currently have a Business Checking Account?
How long have you been in business?
How much revenue was deposited into your business account last month?
How much capital do you need?
BASIC INFORMATION
Business Legal Name
Name
Email
Phone
ADDITIONAL BUSINESS INFORMATION
Business Start Date
Select Your Industry
Business Address
What is your Average Monthly Sales?
Current Loan Company Names and Current Balance
OWNER INFORMATION
Owner Name
Title
Ownership %
SSN
Date of Birth
Home Address
PARTNER INFORMATION
Partner's Name
Title
Ownweship %
SSN
Date of Birth
Mobile

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

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I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Timestamp

Audit

April 19, 2023 8:37 am GMT

WP Forms - Application Uploaded by Global Funding - [email protected] IP 45.124.7.189