Payment Gurus - Flash Advance

Business Legal Name:*
Business DBA Name:*
Address:*
Suite/Floor:
City:
State:*
Zip:*
Business Phone:*
Website
Bus. Fax:
Email:*
Type of Business:
Legal Entity:
Number of Employees:
Federal Tax ID#(EIN):*
Date Business Started:
Length of Ownership (years):
Use of proceeds
1st OWNER INFORMATION
Name:*
Date of Birth:*
Address:*
City:
State:*
Zip*
Mobile Phone:*
Driver's License #:
SSN (Last four digits)*
% of Ownership:
2nd OWNER INFORMATION
Name:
Date of Birth:
Address:
City:
State:
Zip:
Mobile Phone:
Driver's License #:
SSN (Last four digits)
% of Ownership:
Bank Statements (Please provide for the last four months)
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Bank Statements (Please provide the documents of the last four months)
Please load the first four bank statements documents...
File 1*
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File 2*
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File 3*
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File 4*
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File 5
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Digital Signature
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Agree to Terms*
- By checking this box, 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 Flash Advance, its agents, partners, affiliates and lenders to receive credit reports and any other information regarding the business 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 Flash Advance 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.

Bank Statements (Please provide the documents of the last four months)