E-Sign for Partner


p: (855) 784-0008

e: support@fundible.com

Partner Application
Business Information
Company Name: Business Address:
Doing Business As:
State:   City: Zip:
Email Address:
Federal Tax Identification Number (EIN):
Phone Number: Website:
Primary Owner Information Secondary Owner Information
First Name: Last Name: First Name: Last Name:
Title: Title:
Mobile Phone Number: Mobile Phone Number:
Email Address: Email Address:
Home Address: Home Address:
City: State: Zip: City: State: Zip:
Social Security Number (SSN): Social Security Number (SSN):
Ownership %:   Ownership %:
Date of Birth: Date of Birth:
Have you ever been convicted of a crime: Have you ever been convicted of a crime:
Partner Questions
What is the nature of your business?:
What marketing channels does your company use to capture new applicants?:
How many Financing Applications do you plan to submit to Fundible per month?:
What financing options does your company currently offer?:
How many employees do you have?:
How many new business loans do you currently fund per month ?:
If you currently work with capital providers, how much volume do you fund monthly?:
It’s okay for my loan specialist to send me text messages.
By signing below, each of the above listed business and business owners/officers/members (individually and collectively, “you”) authorize Streamline Funding LLC d/b/a Fundible (“Fundible”) and each of its representatives, successors, assignees, affiliates and designees (collectively “Recipients”) that may be involved with the acquiring of commercial loans and/or other products that have daily or weekly repayment features for the purchase 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 without limitation 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 Fundible to transmit this application form, along with any of the foregoing information obtained in connection with this application, to any or all of the Recipients for the foregoing purposes; however, Fundible shall not disclose information in your credit report to third parties. You also consent to the release, by any credit or financial institution, of any information relating to you, to Fundible and to each of the Recipients, on its own behalf.

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Signature Certificate
Document name: E-Sign for Partner
lock iconUnique Document ID: 501cf22f02fadab165a66ca1da1274526a07297f
Timestamp Audit
May 20, 2021 10:27 am ESTE-Sign for Partner Uploaded by Dov Kauderer - Dov@fundible.com IP