Step 1 of 3 33% Business InformationLegal Business Name* Legal Business Owner Name* First Last How long ago was the EIN created for your LLC/Corp/SoleProp?* Less than 1 year ago 1 -2 years ago More than 2 years ago I don't have an EIN *This is typically around the same time your LLC/Corp/SoleProp was formed.Applicant InformationBusiness Owner Name* First Last Email* Cell Phone*SSN#* ***If you have a Credit Freeze or Fraud Alert on your credit profile that will need to be removed for review.Date of Birth* MM slash DD slash YYYY Home Address* Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Annual Household Income*HiddenRetirement Assets over 30k?*NoYesDid you ever have a Bankruptcy?*--Select Option--NoYesPersonal Credit Score*Below 620620 - 679Above 680Are you adding a Credit Partner to this Application?* Yes No A credit partner is most frequently a business partner, relative or friend, this is someone who temporarily assists you by guaranteeing your lines of credit for your business through the Credit Line Hybrid lending program. Credit Partner InformationA credit partner is most frequently a business partner, relative or friend, this is someone who temporarily assists you by guaranteeing your lines of credit for your business through the Credit Line Hybrid lending program.Credit Partner Legal Name First Name Last Name Credit Partners Phone Number*Credit Partners Email* Credit Partners Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Annual Household Income*Social Security Number*Date of Birth* MM slash DD slash YYYY Have you filed bankruptcy in the last 7 years?* Yes No Personal Credit Score*Below 620620 - 679Above 680Credit Partner Signature of Authorization* SignatureSTATEMENT OF ACCURACY The statement made in this, documents submitted electronically, and documents attached to this application are true and accurate to the best of my/our knowledge and belief. AUTHORIZATION TO OBTAIN INFORMATION I/We authorize Business Finance Suite and its affiliates and agents or any third party funder selected by Business Finance Suite, and credit card processor including but not limited to, Integrated Resource Network (IRN), to obtain whatever information regarding employment, bank accounts, and/or outstanding credit (mortgage, auto, personal, home improvement, charge cards, credit unions, etc.) that Business Finance Suite deems to necessary in connection with this application or in the course of review or collection of any credit extended in reliance of this application. I/ We authorize and instruct any consumer credit agency, commercial credit reporting agency, government agency, taxing authority, business or person to compile and furnish to Business Finance Suite any such information regarding us or our businesses as may be requested by Business Finance Suite. I/We agree that such information, along with this application, shall remain Business Finance Suite’s property whether or not the application is approved. This authorization will be valid for a period of two years from the date below or as long as applicant has an outstanding balance with Business Finance Suite or its affiliates. You authorize Business Finance Suite to verify or check any of the information given including credit references, background information and employment and to obtain credit bureau reports as Business Finance Suite deems necessary. You agree to immediately update Business Finance Suite if there is any material change in the information provided in any application forms, ownership, officers, financial status, contacts or other information for as long as you or successor or related entities conducts business with Business Financial Suite or it’s affiliate. A photocopy of this authorization will be as valid as the original. I understand that there is a success fee of 9.9% for each unsecured line approved. Typically this is paid by the borrower using the newly acquired business financing.Signature*Date* MM slash DD slash YYYY