Loan Info Form

Please fill out the form below to help us connect you to the right lender.

Flexway Merchant Credit Loan Application

Preliminary Merchant Credit Loan Application

This field is for validation purposes and should be left unchanged.

Merchant Information

(Please Complete All Information Below Accurately)

Legal Name(Required)

DBA Name(Required)

Type of Business(Required)

Corporate Legal Address:(Required)

Street Address City State / Province / Region ZIP / Postal Code

Number of W2 Employees(Required)

Web Address(Required)

Legal Form of Entity & Authorized Signer

Legal Entity Type(Required)

Name of Officer Signing Application:(Required)

Date of Organization:(Required)

State of Organization:(Required)

Federal Tax ID #:(Required)

How Long Have You Owned the Establishment? (Years)(Required)

(Months)(Required)

Landlord's Name

Landlord's Phone Number

Total Annual Sales(Required)

loan requested

Total Cash Needed:(Required)

loan requested

Information on Principal Owner/Loan Guarantor

(Required)

Name of Principal Owner/Guarantor:(Required)

First Last

Date of Birth(Required)

SSN(Required)

Driver’s License #:(Required)

State(Required)

Email(Required)

Home Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Are You a US Citizen?(Required)

Yes

If not, are you a Permanent Resident?(Required)

Yes

Home Phone(Required)

Cell Phone(Required)

Do You Own or Rent?(Required)

Own

Rent

Credit Authorization, Consents and Certifications

The Company and the undersigned principal owner of the Company identified above (“Applicant”) represents, acknowledges, and agrees that (1) all information and documents provided to (“Provider”) are true, accurate, and complete, (2) Applicant will immediately notify Provider of any change in Applicant's financial condition, (3) Provider is authorized to submit this Application and all supporting documents provided by Applicant to its’ affiliates, representatives, successors, assigns, designees, agents, partners, and third-party financial institutions for the purpose of considering commercial financing offers to Applicant (collectively "Recipients"), (4) such Recipients are authorized to request and receive any investigative reports, consumer credit reports, statements from creditors or financial institutions, verifications of information, or any other information that Recipients deem necessary in considering this Application, (5) the undersigned represents that they are authorized to sign this form on behalf of the Company, and (6) THE COMPANY AND PRINCIPAL CONSENT TO RECEIVE CALLS, TEXTS, AND EMAILS FROM PROVIDER AND RECIPIENTS BASED UPON THE CONTACT INFORMATION OF APPLICANT PROVIDED IN THIS APPLICATION

Digital Signature

Please upload required files and documents(Required)

Drop files here or

Max. file size: 1 GB.

Please upload required documents.

SMS Consent
By providing your phone number, you consent to receive SMS notifications related to your scheduled calls. These messages will include important updates and reminders about your upcoming appointments. The volume may vary and additional charges may apply. the We prioritize your privacy and ensure that your information is secure. You can opt out of these notifications at any time by following the instructions provided in the messages.

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