1  Company Information

2  Owner Information

3  Required Financials

Last four months of business bank statements attached separately in PDF format.

Authorization & Certification

By signing, each of the above listed business and business owner/officer (individually and collectively, "you") authorize Avenridge Capital Group and each of its representatives, successors, assigns and designees ("Recipients") that may be involved with or acquire commercial loans having daily repayment features or purchases of future receivables including Merchant Cash Advance transactions, including without limitation the application therefor (collectively, "Transactions") to obtain consumer and/or personal, business and investigative reports and other information about you, including 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 Avenridge Capital Group to transmit this application form, with any of the foregoing information obtained in connection with this application, to any or all of the Recipients for the foregoing purposes. You also consent to the release, by any creditor or financial institution, of any information relating to any of you, to Avenridge Capital Group and to each of the Recipients, on its own behalf. I am providing my cellphone number and hereby consent to the receipt of text messages knowing that msg. and data rates may apply. I understand that consent to receive texts is not a condition of approval. I/We certify that all the information contained herein is complete, true and accurate. I understand that submitting this application creates no obligation and does not guarantee approval, and I agree to notify Avenridge Capital Group of any material change to the information provided.