Funding Application As a direct lender, Fast Business Financial is here to get you the funding you need. Unlike your bank which takes anywhere from a few weeks to many months just to inform you of a decline, all we need is the following application filled and we can provide the working capital you need in as fast as a 24-hour turnaround. We know some parts may seem overwhelming, and that's why we're here to help. Feel free to call me at (323) 739-1502.Business Contact InformationLegal Company Name* Business Start Date* MM slash DD slash YYYY DBA* Number of Owners*12EIN | Tax ID*Business Structure* Sole Proprietorship Corporation LLC Registered Company Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*FaxAnnual Business Revenue*Annual Cost of Goods Sold*Description Of Business* How much funding do you need?Purpose Of Funding Do you have an existing loan? Yes No How Did You Hear About Us? With Which Company* Owner (1) InformationBusiness Owner Name* First Last Social Security Number* Date Of Birth* MM slash DD slash YYYY Credit Score* Home Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Ownership %* Mobile Phone*Fax NumberOwner (2) InformationBusiness Owner Name First Last Social Security Number* Date Of Birth MM slash DD slash YYYY Credit Score Home Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Ownership % Mobile PhoneFax NumberAdditional InformationDo you rent or own your home? Rent Own Landlord Name* First Last Landlord Phone*Rent Payment Amount* Mortgage Payment Amount* SignaturesOwner (1) Signature*Owner (1) Name & Title* Date MM slash DD slash YYYY Owner (2) Signature*Owner (2) Name & Title Date MM slash DD slash YYYY Upload Bank Statements*We need the last 3 months of bank statements to get you funded. Drop files here or Select files Max. file size: 32 MB. By signing above, each of the above listed business and business owner/officer (individually and collectively, “you”) authorize [Fast Business Financial] (“FBF”) 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 therefore (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 FBF 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 FBF and to each of the Recipients, on its own behalf.CAPTCHA