Let's Start Your Application!
The application should take less than 10 minutes to complete, requiring basic personal and business information, such as your Social Security Number, Federal Tax ID, and the last few months of your business bank statements.
Your Name
*
First Name
Last Name
Mobile Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
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Business Information
Next step, we need to know more details about your business.
Legal Business Name
*
Do you do business under a different name?
*
Yes
No
Doing Business As (DBA) Name
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Industry
*
Please Select
Auto Dealer & Sales
Automotive Services
Construction-related
Consulting
Contractors (Plumbing, HVAC, Other)
Convenience Store, Market, Deli, Bakery
Education, School, Daycare
Electricians, Plumbing, HVAC
Equipment Sales & Rental
Farming, Agriculture
Furniture, Home Furnishing
Gas Station, Fuel Service
Gym, Fitness
Home-Healthcare, Senior Care
Hotel, Motel, Hospitality
Janitorial, Cleaning Service Jewelry
Landscaping, Lawn Service
Laundry, Dry Cleaning Service
Law Firm
Manufacturing
Media, Communications, Marketing
Medical Professional
Online, Home-Based Business
Other
Pharmacy
Professional Services (Law, Other)
Real Estate, Insurance Broker
Recycling
Restaurant, Bar
Retail
Salon, Spa
Security Guard Services
Service Provider Solar-related
Staffing Agency
Trucking, Transportation
Wholesale Distribution
Wine & Liquor Store
Business Start Date
*
-
Month
-
Day
Year
Business Phone Number
*
Please enter a valid phone number.
Business Entity Type
*
Please Select
Sole Proprietorship
LLC
General Partnership
Limited Liability Partnership (LLP)
C Corporation
S Corporation
Federal Tax ID
*
Your Federal Tax ID can be found on the top right of your business tax return.
Business Website
This can include any kind of online presence.
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Owner Information
Almost there! We need to know a bit more about you to consider your application.
Your Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your Social Security Number
*
We use your Social Security Number to help confirm your identity and conduct a soft credit inquiry. Applying will not impact your personal credit score.
Your Date of Birth
*
-
Month
-
Day
Year
Your Personal Credit Score
*
Please Select
500-549
550-599
600-649
650-699
700+
Your % ownership of the business
*
Owner #2 Name
First Name
Last Name
Owner #2 Mobile Phone Number
Please enter a valid phone number.
Owner #2 Email
example@example.com
Owner #2 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Owner #2 Social Security Number
Owner #2 Date of Birth
-
Month
-
Day
Year
Owner #2 Personal Credit Score
Please Select
500-549
550-599
600-649
650-699
700+
Owner #2 % ownership of the business
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Funding Plans
You have goals. We want to help you get there. We need to know more about your funding background to assess what will be the right fit for your company.
Requested Funding Amount
*
How do you intend to use the funds?
*
Please Select
Business Expansion
Debt Refinancing
Equipment Purchase
Equipment Repair
Hiring Employees
Inventory
Marketing
Materials
Misc. Business Expenses
New Location
Payroll
Renovation
Taxes
Working Capital
Other
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Upload Business Bank Statements
Please upload your last three months' business bank statements below. Some states require us to review four months of bank statements. Applications without these documents will not be processed.
Business bank statement #1
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*PDF format required
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Business bank statement #2
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*PDF format required
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Business bank statement #3
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*PDF format required
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of
Business bank statement #4
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Choose a file
*PDF format required, only required in some states
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of
Additional documentation
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Choose a file
Anything you believe will provide additional context for our team.
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Electronic Authorization
To submit your application, you must confirm you have read and agreed to the electronic authorization below.
Your Signature
*
Owner #2 Signature
Online Authorization
Each of the undersigned, who is either an owner, officer or personal guarantor of the above-named business, recognizes that his or her individual credit history may be a factor in the evaluation of this application of the above named business for funding. Each of the undersigned hereby authorizes Fundela LLC, a Florida limited liability company (“Fundela”), and its assigns, affiliates and/or designees (“Recipients”) to from time to time hereafter obtain a “Credit Report” (as defined below), and any updates to the Credit Reports, of the undersigned and of the above named business, in connection with Fundela’s and any other Recipient’s consideration of this application.“Credit Report” means any consumer or personal, business and investigative reports and other information, including credit card processor statements and bank statements, from one or more consumer reporting agencies, such as TransUnion, Experian and Equifax, and from other credit bureaus, banks, creditors and other third parties.Each of the undersigned also expressly consents, in accordance with the Telephone Consumer Protection Act (TCPA) and other applicable laws, to receive calls and messages (including calls and messages made using automated dialing systems or prerecorded voices), text messages, and emails from Fundela, its affiliates, agents, and service providers at any telephone number or email address provided in connection with this application. This includes, but is not limited to, communications regarding this application, notices of adverse action (NOAAs), and other related updates.Furthermore, each of the undersigned agrees to conduct business with Fundela and its affiliates electronically, and hereby provides consent to the use of electronic signatures and the receipt of all related documents, communications, and disclosures in electronic form.
Date Signed
Date
/
Month
/
Day
Year
Date
Date 2
-
Month
-
Day
Year
Date
Agent Name
Agent Email
example@example.com
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