Ask us about our Covid 19 Relief Funding Programs.
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Merchant Cash AdvanceEquipment LeasingCredit RepairCredit Card ProcessingSmall Business Administration LoansStart Up Line of Credit/ Term Loans
Business Legal Name*:
Business DBA (if applicable):
Legal Entity (Select One)*:
Business Start Date*:
Federal Tax ID*:
Home Based Business?*
State of Inc/LLC*:
Industry Type (SIC Code):
Business Rent/Mortgage Information*:
Mthly Rent/Lease/Mtg Payment*:
Remaining Term for Rent/Lease*:
Landlord/Mortgage Company Contact:
Business credit score:
When Are Funds Needed*:
N/AASAP30 Days60 DaysOther
Desired Use of Funding Proceeds*:
Gross Annual Sales*:
Gross Monthly Sales*:
Monthly Credit Card Volume*:
Current Cash Advance?*
Cash Advance/Loan Balance*:
What payment fits your budget?*:
Current Credit Card Processing Company:
Date of Birth*:
Date of Birth:
By signing below, each of the above listed business and business owner/officer (individually and collectively, “you”) Capital Relief Financial LLC 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 Capital Relief Financial LLC to transmit this application form, along with any of the foregoing information obtained in connection with this application, to any or all 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 Capital Relief Financial LLC and to each of the Recipients, on its own behalf.
The signature section is a canvas, you can draw your signatures with finger on touch screen or with mouse on desktops here.
Printed Name (Co-Owner):
How did you hear about us?*:
What's good time for a consultant to contact you*:
Please upload your Application form here.
Please Download your Application form here.