Step 2 Documentation

• Company/Legal Business Name:

• Doing Business As/DBA:

• Business/Physical Address (No PO Boxes):

• City:

• State:

• Zip:

• Business Phone Number:

• Business Fax Number:

• Federal Tax ID:

• State of Incorporation:

• Business Start Date:

• Email Address:

• Website Address:

• Type of Business Entity:

• Sole ProprietorshipLLCPartnershipLLPLimited PartnershipCorporation

• Annual Gross Sales:

• Monthly Credit Card Volume:

• Product/Service Sold:

• Description of Business:

Principal Owner #1

• Last Name:

• First Name:

• Title:

• Ownership %:

• Home Address:

• City:

• State:

• Zip:

• Social Security Number:

• Date of Birth:

• Home Phone Number:

• Mobile Phone Number:

Principal Owner #2

• Last Name:

• First Name:

• Title:

• Ownership %:

• Home Address:

• City:

• State:

• Zip:

• Social Security Number:

• Date of Birth:

• Home Phone Number:

• Mobile Phone Number:

Business Property Landlord Reference

• 
  Do you rent or own?
  RentOwn

• Lease Expiration Date:

• 
  Rent Amount $ per month

  
  Are you current?
  YesNo

• Landlord/Mortgage Co. Name:

• Contact Name:

• Contact Phone Number:

• Collective Incorporation Number ie. MBC

• Number of Employees:

• Credit Card Processing Co if applicable:

Current Credit Facility Balances

• Company 1.

• Balance

• Payment

• Company 2.

• Balance

• Payment

• Company 3.

• Balance

• Payment

• Company 4.

• Balance

• Payment

• Company 5.

• Balance

• Payment