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docs@k5capitalgroup.com
BUSINESS FUNDING APPLICATION
PURCHASE OR REFINANCE • REHAB PROGRAMS • GROUND UP CONSTRUCTION PROGRAM
K5 APPLICATION
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Step
1
of 4
K5 Representative Name
*
First
Last
Corporate Officer Name
*
First
Last
Layout
Phone Number
*
Email
*
Business Information
Layout
Business Name
*
DBA Name
*
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Next
Layout
Monthly Revenue
*
Business start date under current ownership:
*
Federal Tax ID
*
State of Incorporation or Organization
*
Do you have any open business loan accounts or advances?
*
Yes
No
# of W-2 Employees
*
Next
Merchant/Owner Information
Layout
Title
*
Ownership %
*
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Next
Layout
SSN*
*
Date of birth
*
FICO*
*
Second owner?
*
Yes
No
Upload past 4 month bank statements
*
Click or drag files to this area to upload.
You can upload up to 4 files.
Drivers License
*
Click or drag a file to this area to upload.
Voided Check
*
Click or drag a file to this area to upload.
I agree to the terms below.
*
Yes, I'm agreed.
By signing below, each of the above-listed business and business owner/officer (individually and collectively, “you”) authorize K5 Capital Group LLC (“K5 Capital”) and each of its representatives, successors, assigns and designees (“Recipients”) that may be involved with or acquire commercial loans having daily repayment features or purchases of future receivables including Merchant Cash Advance transactions, including without limitation the application therefor (collectively, “Transactions”) to obtain consumer or personal, business and investigative reports and other information about you, 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. You also authorize K5 CAPITAL GROUP to transmit this application form, along with any of the foregoing information obtained in connection with this application, to any or all of the Recipients for the foregoing purposes. You also consent to the release, by any creditor or financial institution, of any information relating to any of you, to K5 CAPITAL GROUP and to each of the Recipients, on its own behalf. You also authorize K5 CAPITAL and each of its Recipients to contact you via text message, automated call or email message at the contact information listed above.
Date
*
SEND
K5 Representative Name*
Corporate Officer Name*
Business Information
Do you have any open business loan accounts or advances?*
Yes
No
Merchant/Owner Information
Second owner?*
Yes
No
Upload past 4 month bank statements
Max. file size: 512 MB.
Drivers License
Max. file size: 512 MB.
Voided Check
Max. file size: 512 MB.
Terms*
I agree to the terms below.
By signing below, each of the above-listed business and business owner/officer (individually and collectively, “you”) authorize K5 Capital Group LLC (“K5 Capital”) and each of its representatives, successors, assigns and designees (“Recipients”) that may be involved with or acquire commercial loans having daily repayment features or purchases of future receivables including Merchant Cash Advance transactions, including without limitation the application therefor (collectively, “Transactions”) to obtain consumer or personal, business and investigative reports and other information about you, 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. You also authorize K5 CAPITAL GROUP to transmit this application form, along with any of the foregoing information obtained in connection with this application, to any or all of the Recipients for the foregoing purposes. You also consent to the release, by any creditor or financial institution, of any information relating to any of you, to K5 CAPITAL GROUP and to each of the Recipients, on its own behalf. You also authorize K5 CAPITAL and each of its Recipients to contact you via text message, automated call or email message at the contact information listed above.
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