E-Sign for PPP Loan


p: (855) 784-0008

e: support@fundible.com

Working Capital Application
Business Information
Business Legal Name: Doing Business As:
State of Incorporation: Federal Tax Identification Number (EIN):
Legal Entity: Business Start Date:
Industry Type:  
Business Financial Information
Annual Business Revenue: Average Daily Bank Balance:
Amount Requested: Use of funds:
Do you have any outstanding loans?: Lender:
Balance: Average monthly payroll:
No. of W2 employees: Did you already receive a first round of PPP? :
Business Address & Information
Business Address: City:
State: ZIP:
Do you own the business property?: Monthly Rent / Mortgage:
Current: Landlord Name:
Landlord Phone:
Primary Owner Information Secondary Owner Information
First Name: Last Name: First Name: Last Name:
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 %: Est FICO: Ownership %: Est FICO:
Date of Birth: Date of Birth:
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 PPP Loan
lock iconUnique Document ID: 249472c7a9a717930da18dcd1db5aab3a9d25a26
Timestamp Audit
January 13, 2021 12:57 am ESTE-Sign for PPP Loan Uploaded by Dov Kauderer - support@fundible.com IP