Capitalize Loans
Legal/Corporate Name
Physical Address
Rent or Own —Please choose an option—RentOwn
City
State
Zip
Federal Tax ID
Date Business Started
Telephone #
Email Address
Loan option(s) interested in? (you may select more than one) Merchant AdvanceLine of CreditPPPSBA LoanEquipment FinancingInvoice FactoringCommercial MortgageTerm Loan
Corporate Officer/Owner Name
Title
Ownership %
Home Address
SSN
Date of Birth
Home #
Mobile Phone #
Do you have a partner?
YesNo
You selected No partner on the previous step. Click Next continue.
Partner Name
Type of Entity? Sole ProprietorshipPartnershipLLCCorporationIndustryOther
Please specify
Is the business seasonal? YesNo
Product/Service Sold
Gross Annual Sales
Current Cash Advance Company Name(s) and Current Balance(s)
Upload: 4 most recent months of business bank statements (PDF/JPEG)
By signing below, each of the above listed business owners/officers and the business entity itself: Authorizes Capitalize Loans and its partners to obtain, share, and verify information provided in this application, including contacting banks, creditors, and credit reporting agencies as necessary to evaluate financing eligibility. Consents to the procurement of consumer and/or business credit reports by Capitalize Loans and its partners in connection with this application and for ongoing account review. Certifies that all information provided is true and complete, and understands that any misrepresentation may result in withdrawal or denial of financing. Agrees that electronic signatures and communications shall carry the same legal effect as written documents.
Owner Signature
2nd Owner Signature (if applicable)
Basic Info
Business Info
Owner Info
How much money do you need? How's your credit score? 499 or below500-559600-649650-679680-719720 or above
Which best describes your business? Choose an optionAgriculture, Forestry, Fishing and HuntingArts, Entertainment, and RecreationAdult EntertainmentGamblingAutomobile Dealers & PartsConstructionEducationFinance and InsuranceHealthcareSocial AssistanceIT, Media, or PublishingLegal ServicesMining (except Oil and Gas)Oil and Gas ExtractionManufacturingPolitical, Governmental, or Public OrganizationsReal EstateReligious OrganizationsRestaurants and Food ServicesRetail StoresFirearm SalesGas StationsTransportation and WarehousingFreight TruckingTravel AgenciesUtilitiesWholesale TradeAll other What's your monthly revenue? $0<$4K$4k - 8k$8K - 15k-$15K - 20k$20K - 40k$40K - 80k$80K - 200k$200K+ What purpose would your loan serve? ExpansionWorking CapitalPayrollPurchase a BusinessPurchase a FranchiseEquipmentReal EstateBuy Out a PartnerStart a BusinessFinance Accounts ReceivableOther
Name Business name Phone number Email address
