Verify My Business - SBS Financial Group

Funding Request
- First name (primary contact)*
- Last name*
- Email*
- Cell Number*
- Company Name*
  
  (if no company name, then put your name)
- Doing Business as (DBA) (If applicable)

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- Preferred Language
- How much would you like to borrow?*
- Industry*
- Business Tax ID*

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- Business Address (No PO Boxes)*
- Business City*
- Business State*
- Business Zip*
- Business Phone Number*

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Basic Info
- Entity type*
- Date Established*
  MM slash DD slash YYYY
- Purpose of funds?
- How soon do you need the money?*

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Owner Information
- First name*
- Last name*
- Home Address*
  
  (should be different from company name unless this is a home business)
- Home City*
- Home State*
- Home Zip*

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- Ownership %*
- Social Security number*
- Birthdate*
  MM slash DD slash YYYY
- Additional owners
  - Additional owners

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Owner 2 Information
- First Name (Owner 2)
- Last Name (Owner 2)
- Home Address (Owner 2)
  
  (should be different from company name unless this is a home business)
- Home City (Owner 2)
- Home State (Owner 2)
- Home Zip(Owner 2)
- Ownership % (Owner 2)
- Social Security number (Owner 2)
Birthdate(Owner 2)
MM slash DD slash YYYY

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Financial snapshot
- Estimated Gross Annual Revenue*
- Existing short term financing?*
- If Yes, which company and balance
  
  (if you have available this is not required)
Terms and Conditions
By signing below, each of the listed business and business owners/officers (individually and collectively, "you") authorize SBS Funding Group ("SBS") and each of its representatives, successors, assigns and designees ("Recipients") that may be involved with or acquire commercial loans having daily, weekly or monthly repayment features or purchases of the future receivables, including without limitation the application therefore (collectively, "Transactions") to obtain consumer or personal, business and investigative reports and others 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 SBS 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 SBS and to each of the Recipients, on its own behalf. Each Applicant represents they are authorized to sign this application and agrees to do business with SBS electronically, and that electronic signatures on this application and any other documents to have the same legal effect as if applicant(s) has signed in ink as well as all information provided and supporting documents are true and complete to their knowledge. Applicant(s) authorizes SBS and its effort to contact you using any of the telephone numbers and/or email addresses listed on this credit application or that you subsequently provide us in connection with your account. Applicants consents to receiving e-mails, SMS messages, calls and voice messages including calls from automatic systems call or SMS to the numbers provided above; agree that this consent applies if the number provided is currently on any state, federal, or corporate Do not call registry and this consent is not a condition of receiving any lending service.
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Terms and conditions
By signing below, each of the listed business and business owners/officers (individually and collectively, "you") authorize SBS Funding Group ("SBS") and each of its representatives, successors, assigns and designees ("Recipients") that may be involved with or acquire commercial loans having daily, weekly or monthly repayment features or purchases of the future receivables, including without limitation the application therefore (collectively, "Transactions") to obtain consumer or personal, business and investigative reports and others 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 SBS 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 SBS and to each of the Recipients, on its own behalf. Each Applicant represents they are authorized to sign this application and agrees to do business with SBS electronically, and that electronic signatures on this application and any other documents to have the same legal effect as if applicant(s) has signed in ink as well as all information provided and supporting documents are true and complete to their knowledge. Applicant(s) authorizes SBS and its effort to contact you using any of the telephone numbers and/or email addresses listed on this credit application or that you subsequently provide us in connection with your account. Applicants consents to receiving e-mails, SMS messages, calls and voice messages including calls from automatic systems call or SMS to the numbers provided above; agree that this consent applies if the number provided is currently on any state, federal, or corporate Do not call registry and this consent is not a condition of receiving any lending service.
- Full Name*
- Date*
  MM slash DD slash YYYY
Signature
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IP Address
To continue the credit team will need the last 3 months of business bank statements, please send to your representative or upload here using our secure system
Drop files here or

Max. file size: 100 MB, Max. files: 10.

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Step 1 of 8

Funding Request

Basic Info

Owner Information

Owner 2 Information

Financial snapshot

Terms and Conditions

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