Revenue Application - SuiteLogin.com

Step 1 of 4

Business Information
Legal Business Name*
DBA (Doing Business As)
Date Business Established*
MM slash DD slash YYYY
EIN #*
Leave out the -
Entity Type*
Industry*
Business Phone*
Business Address*
Street Address City State ZIP Code
Does the business own or lease the business location?*
Landlord Name*

for business location
Landlord Phone Number*

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Business owner(s) information:
List any owner with over 50% ownership
Business Owners Name*
First Last
SSN#*
Date of Birth*
MM slash DD slash YYYY
Email*
Cell Phone*
Home Phone
Owners Address*
Street Address City State ZIP Code
Annual Income*
% of Ownership*
# of Additional owners*
Additional Owner 1 Information
Name
First Last
SSN#*
Date of Birth*
MM slash DD slash YYYY
Email*
Cell Phone*
Home Phone
Address
Street Address City State ZIP Code
Annual Income*
% of Ownership
Additional Owner 2 Information
Name
First Last
SSN#*
Date of Birth*
MM slash DD slash YYYY
Email*
Cell Phone*
Home Phone
Address
Street Address City State ZIP Code
Annual Income*
% of Ownership

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Desired Loan Amount*
Purpose of loan*
Desired Loan Term*
6 months bank statements
Drop files here or

Max. file size: 64 MB.
If you haven't already supplied them
Signature
STATEMENT 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.) 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 including their affiliates, assignees, agents and designees any such information regarding us or our businesses. 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 including their affiliates, assignees, agents and designees. You authorize Business Finance Suite including their affiliates, assignees, agents and designeesto verify or check any of the information given including credit references, background information and employment and to obtain credit bureau reports. 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.
Signature*
Date
MM slash DD slash YYYY
Signature
Date
MM slash DD slash YYYY
Signature
Date
MM slash DD slash YYYY

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Step 1 of 4

Business Information

Business Bank Information

Business owner(s) information:

Additional Owner 1 Information

Additional Owner 2 Information

Signature