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Please answer each question as best as possible. Or instead, you may choose to download HERE to print and then fax or mail back to us.
Questions marked with (*) are REQUIRED and must be answered to complete your application.

What is the businesses legal name? *

What is the DBA name?

What is the main business address? *

What is the suite or floor number?

In what city? *

In what state? *

What is the Zip Code? *

What is the main business telephone number? *

What is the main business email address? *

What is the entity type?

In what state was the business formed?

What is the general business type?

What kind of products or services does the business provide?

To identify the business, please provide the business Federal Tax ID number (EIN)?

We need a little information about your location

How does the business occupy the location?

Is the Rent, Lease or Mortgage payment current?

How many employees does the business have in total?

Let’s talk about the business owner or principal

What is the owner or principal’s first name? *

Last name? *


Home address?



Zip Code?

Home or mobile phone number?

Email address? *

For easier funding decisions, please provide the owner or principal’s Social Security Number.*

Date of Birth?
/ /

To identify the owner or principal, provide Driver’s license number?

Percentage of ownership? *

Length of ownership?
Year(s): Month(s):

Just a few more items and you’re done!

How much money is being requested? *

Is Business Seasonal?

What were last year’s total gross sales?

Does the business accept Credit Cards?

Has the business, owner or principal ever filed for bankruptcy?

Any prior tax liens or judgments?

Please upload the bank statements for the 4 previous months:

August 2016:
July 2016:
June 2016:
May 2016:

Please read and sign below, then press SUBMIT

By signing below, you certify that (1) you are an authorized owner, principal or decision maker for the business, (2) all information and documents submitted in connection with this application are true, correct and complete; and (3) you authorize Best Offer Capital, its agents, partners, and lenders to receive credit reports and any other information regarding the Merchant and its owners and principals from third parties, to verify any information provided on the application. You further agree to receive autodialed marketing calls and text messages from or on behalf of Best Offer Capital at any of the phone numbers provided herein and anytime hereafter. You understand that this consent is not a condition of any purchase or funding decision.

Draw your signature below: *

how can we help you?

Need help? Contact us today, one of our loan advisers will be happy to help you!

Best Offer Capital really helped us achieve our financial and business goals.

Amanda Seyfried

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