Business Loan Application

One application, shared only with the lenders we match you with. Fields marked * are required.

Client Details

Owner(s) Name *

Legal Business Name *

DBA

Personal Phone *

Business Phone *

Personal Email *

Business Email *

Full Home Address *

Full Business Address *

Social Security Number *

EIN Number *

Date of Birth *

Company Start Date *

Personal Credit Score *

Desired Funding Amount *

Business Information

Average Monthly Revenue *

Business Industry *

Website *

State of Incorporation *

Number of Owners *

Purpose of loan *

Any Active Loans? *

Last 4 Bank Statements

Bank Statement 1 * Click to upload PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Bank Statement 2 * Click to upload PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Bank Statement 3 * Click to upload PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Bank Statement 4 Click to upload PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF Mandatory for NY and CA

Documents

Picture of Drivers license * Click to upload PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Social Security Card * Click to upload PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

EIN Letter * Click to upload PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Voided Business Check * Click to upload PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF Please upload for Faster Funding

Review & Sign

Who referred you?

Note (Optional)

Signature * Clear

Sign here

By signing and submitting, you authorize FCL Business Services and its lending partners to obtain credit reports and verify the information provided, and you agree to be contacted about financing. [HAVE AN ATTORNEY REVIEW THIS AUTHORIZATION LANGUAGE]