FUNDING APPLICATION
BUSINESS INFORMATION
| Legal Name: |
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Phone #: |
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| Email Address: |
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DBA: |
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| Cell Phone #: |
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Industry: |
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| Tax ID #: |
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State of Inc |
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| Entity Type: |
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Start Date: |
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| Website: |
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Use of Funds: |
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BUSINESS ADDRESS
| Address: |
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City: |
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| State: |
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Zip Code: |
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FINANCIAL INFORMATION
| Annual Revenue: |
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Average Daily Balance: |
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| Amount Requested: |
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Monthly Deposits: |
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| Credit Score 1: |
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Credit Score 2: |
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| Outstanding Loans |
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Yes or No: |
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| Lender: |
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Current Balance $: |
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| Original Amount $: |
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Payback Amount $: |
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OWNER INFORMATION
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Owner 1
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Owner 2
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| Full Name: |
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Full Name: |
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| SSN#: |
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SSN#: |
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| Ownership %: |
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Ownership %: |
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| Date of Birth: |
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Date of Birth: |
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| Street Address: |
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Street Address: |
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| City, State: |
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City, State: |
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| Zip Code: |
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Zip Code: |
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By signing below, each of the above-listed business and business owners/officers/members (individually and collectively, the “Applicant”) certifies that Applicant is authorized to submit this application on behalf of the above-named business. Applicant certifies that all information and documents submitted in connection with this Application are true, correct, and complete and may be relied upon by Upwise Capital LLC (“UC”). Applicant authorizes UC to share this application and all supporting documentation with each of its representatives, successors, assignees, affiliates, and designees including third-party lenders (collectively “Assignees”). that may be involved with the acquiring of commercial loans and/or other products. Applicant further authorizes UC and all Assignees to request, receive, and review any investigative or credit reports, including comprehensive business and personal credit histories or hard credit pulls, and any other information regarding the Applicant and its owners and/or principals from third parties deemed necessary by UC or Assignees to verify any information provided on the Application including without limitation credit card processor statements and bank statements, from one or more consumer reporting agencies, such as TransUnion, Experian, and Equifax, and other credit bureaus, banks, creditors and other third parties. UC shall not disclose information in your credit report to third parties. The applicant also consents to the release, by any credit or financial institution, of any information relating to Applicant, to UC, and each of the Assignees, on its own behalf. The applicant also consents to email and/or text/SMS/fax messages at the phone number(s) provided above, including your wireless number, using an automated telephone dialing system or another similar system for marketing purposes by UC and/or third-party lenders, as well as their respective affiliates or agents acting on their behalf. Furthermore, Applicant hereby waives and releases any claims against UC, all Assignees, and any information-providers arising from any act or omission relating to the requesting, receiving, or release of the information obtained in connection with this application.
