Quick Business Funding, LLC

Please fill the on-line form bellow and securely submint required documents.

(If you prefer to download and fill PDF application please click here )

FUNDING APPLICATION

Business legal name:

Business legal name is required.

Doing business as:

This field is required.

Legal Entity:

Corporation

LLC

Soleproprietorship

Legal Entity is required

Federal Tax ID:

Federal Tax ID is required.

Business Phone:

Please fill out business phone.

Business website:

Website url is required.

Mobile

Mobile Phone is required.

Business fax:

Email address:

Valid email is required.

Business start date:

Valid Business start date is required.

Physical address:

Please enter your physical address.

City:

Address-city is required.

State:

Address-state is required.

Zip Code:

Zip code is required.

Mailing address:

Mailing address is required.

City:

Mailing address-city is required.

State:

Mailing address-state is required.

Zip Code:

Zip code is required.

OWNER/PRINCIPAL APPLICATION

Name:

Owner name is required.

% of Ownership:

% of Ownership field as is required.

Home address:

Please enter your physical address.

City:

Valid City is required.

State:

Valid State is required.

Zip Code:

Zip code is required.

Email:

Email is required.

Mobile:

Mobile phone is required.

Date of birth:

DOB is required.

Social security #:

Social security number is required.

2^ND OWNER/PRINCIPAL APPLICATION

No 2^nd owner.

Name:

Owner name is required.

% of Ownership:

% of Ownership field as is required.

Home address:

Home address-2nd owner is required.

City:

City is required.

State:

State-2nd owner is required.

Zip Code:

Zip code is required.

Email:

Email address is required.

Mobile:

Mobile phone is required.

Date of birth:

DOB is required.

Social security #:

Social security number is required.

BUSINESS INFORMATION

Description:

Please enter description.

Notes:

Open bankrupcy?

Please enter if open bankrupcy.

Rent/mortgage amount:

Please enter rent/mortgage amount

Landlord/mortgage company contact:

Please enter contact info.

FUNDING INFORMATION

How much capital is being requested?

Please enter capital requested.

What is the capital being requested for?

Please fill up this field.

Visa/Mastercard monthly volume:

Please enter monthly volume.

Total monthly sales (all forms of revenue):

Please enter monthly sales.

Gross annual sales (last year's tax return):

Please enter gross annual sales.

Do you currently have a cash advance? If Yes, what is the current outstanding balance?

Please enter your cash advance.

UPLOAD DOCUMENTS

Application

3 Months Bank Statement (1)

3 Months Bank Statement (2)

3 Months Bank Statement (3)

Voided check

Drivers licence

SIGN

AGREEMENT AND SUBMIT

The Merchant and Owner(s)/Officer(s) identified above (individually, an "Applicant") each represents, acknowledges and agrees that (1) all information and documents provided to Representative including credit card processor statements are true, accurate and complete, (2) Applicant will immediately notify Representative of any change in such information or financial condition, (3) Applicant authorizes Representative to disclose all information and documents that Representative may obtain including credit reports to other persons or entities (collectively, "Assignees") 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"), and each Assignee is authorized to use such information and documents, and share such information and documents with other Assignees, in connection with potential Transactions, (4) Representative and each Assignee will rely upon the accuracy and completeness of such information and documents, (5) Representative, Assignees, and each of their representatives, successors, assigns and designees (collectively, "Recipients") are authorized to request and receive any investigative reports, credit reports, statements from creditors or financial institutions, verification of information, or any other information that a Recipient deems necessary, (6) Applicant waives and releases any claims against Recipients and any information—providers arising from any act or omission relating to the requesting, receiving or release of information, and (7) each Owner/Officer represents that he or she is authorized to sign this form on behalf of Merchant. A copy of this authorization may be accepted as an original. The term "Representative" shall mean any funding source looking to offer, make available, or provide to the Merchant access to loans or merchant cash advances based on such Merchant’s future receivables or sales and/or structured with a periodic repayment feature.

Agree to above terms and conditions

FUNDING APPLICATION

OWNER/PRINCIPAL APPLICATION

2ND OWNER/PRINCIPAL APPLICATION

BUSINESS INFORMATION

FUNDING INFORMATION

UPLOAD DOCUMENTS

SIGN

AGREEMENT AND SUBMIT

2^ND OWNER/PRINCIPAL APPLICATION