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Pre-Application for Unsecured Funding 

Please fill out the information below.

General Information


Have you ever declared bankruptcy?
Do you owe any taxes for the current or previous tax years?
Do you have any claims or lawsuits?
Do you own or rent your primary residence?

Company Information

Business & Funding Information

Share Holder Information

Owner #2 Information (if applicable)

Does owner #2 you have any claims or lawsuits?
Does owner #2 owe any taxes for the current or previous tax years?
Has owner #2 ever declared bankruptcy?
Does owner #2 own or rent the primary residence?
Does owner #2 you have any claims or lawsuits?

Optional - Attach 4 months of bank statements here (PDF format)

Upload File

By e-signing below, each of the above listed business and business owner/officer (individually and collectively, “you”) Fortedge Funding 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 Fortedge Funding 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 Fortedge Funding and to each of the Recipients, on its own behalf.

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