Business Financing Application

Complete all fields · All information is confidential

Business Information

Business Name

Entity Type

Corporation LLC Sole Proprietorship Partnership

DBA (Doing Business As)

Phone

Federal Tax ID

Business Address

City

State

Zip Code

Amount Requested ($)

Monthly Revenue ($)

Business Start Date

Description of Business

Use of Proceeds

Is this your first business loan?

Yes No — please provide details below

Previous Loan Amount ($)

How Long Ago

Any Late Payments?

Primary Owner Information

Full Name

Home Address

Cell Phone

City

State

Zip Code

Date of Birth

SSN

% Ownership

Email Address

Credit Score (est.)

Secondary Owner Information

If applicable

Full Name

Home Address

Cell Phone

City

State

Zip Code

Date of Birth

SSN

% Ownership

Email Address

Credit Score (est.)

By signing below, each of the above listed business and business owner/officer (individually and collectively, "you") authorize 7a Funding Group LLC and each of its representatives, successors, assigns and designees ("Recipients") to obtain consumer or personal, business and investigative reports and other information about you, including credit card processor statements and bank statements, from consumer reporting agencies such as TransUnion, Experian and Equifax, and from other credit bureaus, banks, creditors, and other third parties. You also authorize 7a Funding Group LLC and/or its Assigns to transmit this application, along with any information obtained in connection with this application, to any or all 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 each of the Recipients, on its own behalf.

Signature of Primary Owner

Date

Signature of Secondary Owner

Date

Required Documents for Underwriting

Signed application
4 months of business bank statements (for amounts under $100,000)
Previous year's tax return + 6 months of bank statements (for amounts over $100,000)

7(A) Funding Group, LLC · www.7afunding.com · Confidential — All information subject to verification