Business Funding Applications | Access Capital Lending Group LLC

BUSINESS FUNDING APPLICATION

FIRST NAME:

LAST NAME:

EMAIL:

PHONE NUMBER:

LEGAL ENTITY NAME(IF APPLICABLE):

ENTITY:

SOLE OR PARTNERSHIP (ADD SPLIT % IN "OTHER") IF APPLICABLE:

STATE OF INCORPORATION:

YEAR OF INCORPORATION:

TIME IN BUSINESS:

INDUSTRY:

ANNUAL SALES:

REQUESTED FUNDING AMOUNT:

USAGE OF FUNDS:

HOW SOON NEEDED:

BORROWER FICO SCORE:

BANKRUPTCIES, LEINS OR REPOSESSIONS:

ANY CHARGE OFFS/LATE PAYMENTS LAST 2 YEARS:

ANY LOANS TAKEN OUT WITHIN PAST 2 YEARS:

Average Monthly Revenue

ANY ADDITIONAL INFO:

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You understand that by clicking the I AGREE box, you are providing ‘written instructions’ to Access Capital Lending Group under the Fair Credit Reporting Act, authorizing Access Capital Lending Group to obtain information from your personal credit profile or other information from Experian. You authorize Access Capital Lending Group to obtain this information solely to conduct a credit pre-qualification. You also authorize Access Capital Lending Group to share your application status and related information with the individual or business that referred you. Our proprietary software uses a 'soft' credit pull to match your credit history with loan criteria, providing a reliable pre-qualification without impacting your credit. Additionally, pre-qualifying consumers may receive special loan offers tailored just for them.

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I AGREE to the Terms above and certify that I have read and agreed to the Consent to Electronic Disclosures provided.

Business Application

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BUSINESS FUNDING APPLICATION