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
Corporate Officer Name

Business Information

Address
K5 Representative Name*
Corporate Officer Name*

Business Information

Merchant/Owner Information

Upload past 4 month bank statements
Max. file size: 512 MB.
Drivers License
Voided Check
Terms*
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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