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Please, briefly describe your business.

Describing the products or services you offer will help us to better understand your business & provide the best funding solutions.

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Do you have any non-government loan balances?

What's your most recent fiscal year's revenue?

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Minimum $60,000 annual revenue required.

What's your personal address?

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What's your business' address?

This is a home based business

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What's your federal tax ID or EIN?

Tax ID or EIN required.

Are you at least 51% majority owner of the business?

What's the majority owner's name & contact info

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What's your date of birth?

Date of birth required.

When did you start this business?

Business start date required.

What's your social security number?

Social security number required.

Why we need this: We need your social security number for identity verification purposes. Our main concern is to protect our clients and ensure no one else can get an advance or loan on your behalf.

Authorization Signature

You're almost done! Please, keep in mind that this is a required step to begin the underwriting process. This signature does not obligate you to accept any funding or commit you to funding.

Authorization Agreement
The Applicant represents that all information is being willfully provided to Progressive Business Capital (PBC) and that it is full, complete and accurate. Applicant also acknowledges that Progressive Business Capital is not a lender and does not provide business funding or credit decisions. Progressive Business Capital agrees to use the information provided on this application, as well as any financial statements submitted for the sole purpose of obtaining an offer for business funding for the Applicant from a direct funder (Lender). Applicant authorizes Progressive Business Capital to provide this application, as well as any other financial, personal, or business-related documents submitted to Progressive Business Capital to potential Lender(s) and further authorizes the Lender(s) to contact and receive information on Seller from banks, financial institutions, credit bureaus and investigative agencies, both personal and business, and to investigate such information and the references and any other statements, information or data provided to Progressive Business Capital by the Applicant. Any offer for funding and its corresponding contractual agreements will be between the Lender(s) and the Applicant solely, and Progressive Business Capital shall not be responsible for any of the Applicant’s obligations as outlined in said agreements. You understand that by signing below you are providing 'written instructions' to Progressive Business Capital under the Fair Credit Reporting Act, authorizing Progressive Business Capital to obtain information from your personal credit profile or other information from Equifax. You authorize Progressive Business Capital to obtain such information solely to conduct a pre-qualification for credit.

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Today's Date

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