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Full Application

Same day approvals and multiple offers next business day in most cases. (application due by 4pm eastern to quaify)

Step 1 of 5

Business Information
Business Legal Name "Merchant"
Business "DBA" Name
Business Street Address
Address Line 2
Business City
Business State
Business Zip Code
Business Phone
Phone 2
Mobile
Email
Website
Fax
Legal Entity Type
Federal Tax ID (EIN/SS)
Merchant Type
Business Start Date
Date Format: MM slash DD slash YYYY
Business Location
Product/Service

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Financial Information
Amount Requested
Do you have existing Cash Advances with any company?
Balance?
Company?
What is the reason for the funding?
Average Monthly Gross Sales?
Average Monthly Deposits?
Average Monthly Visa/MasterCard Sales?
Average Monthly Amex Sales?
Processing Company?
Number of Terminals?

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First Owner Information
Name
First Last
First Owner Cell Phone
Email
Owner Home Address
Address Line 2
Owner City
Owner State
Owner Zip Code
Percentage of ownership?
Social Security Number
Date of Birth
Date Format: MM slash DD slash YYYY

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Second Owner Information
Name
First Last
Second Owner Cell Phone
Email
2nd Owner Home Address
Address Line 2
2nd Owner City
2nd Owner State
2nd Owner Zip Code
Percentage of ownership
Social Security Number
Date of Birth
Date Format: MM slash DD slash YYYY

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Property Information
Do you own or lease your home?
Lease start date
Lease end date
Monthly Rent/Mortgage Payment
Landlord/Mortgage Company
Landlord/Mortgage Company Contact
Phone
Property/Mortgage Email
Fax
Type of building
Business Trade References
Company trade reference 1
Name
First Last
Phone
Company trade reference 2
Name
First Last
Phone
Please Select Your Advisor
Phone
This field is for validation purposes and should be left unchanged.

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NOTICE OF YOUR FINANCIAL PRIVACY RIGHTS
Maintaining customer trust and confidence is a high priority with Funding Merchant Group. That is why we want you to understand how we protect your privacy when we collect and use confidential information about you, and the measures we take to safeguard that personal information.

SOURCES OF INFORMATION WE MAY COLLECT
Nonpublic personal information is information about you not known by the public that we obtain in connection with providing a financial product or service to our clients. By extending services to you, we may collect nonpublic personal information about you from various sources, such as:

Information you give us on applications or other forms.
Information about your transactions with other parties such as information on checks we clear.
Information from a consumer reporting agency.
*Your business must be open for at least year.

complete this application online right now for same day approval.

Full Application

Step 1 of 5

Business Information

Financial Information

First Owner Information

Second Owner Information

Property Information

Business Trade References