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New Online Application

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Funding Application

General Information
First Name:		Last Name:
Email:		Phone:
Website:	Language preference:		Business bank account?:

Business Information
Legal Business Name:
DBA Name:			Federal Tax ID Number:
Business Structure:			Date Founded:
Industry Type Services Provided:			No. of Employees:
Business Address:

Financial Information
Annual Revenue:	Average daily bank balance:	Open business loans:
Company Name 1:	Current Balance:	Date of Funding:
Company Name 2:	Current Balance:	Date of Funding:

Funding Request
Requested Funding Amount:			Requesting Funding Term:
Purpose of Funding:			Need Funding By:

Ownership Information
First name:		Last name:
Mobile Phone:	Email:		Birth Date:
Social Security Number:		Personal Credit Score:
Address:
US Citizen:		Percent Ownership (%):

By signing below, each of the above listed business and business owners/officers/members (individually and collectively, the “Applicant”) certifies that Applicant is authorized to submit this application on behalf of the above named business. Applicant certifies that all information and documents submitted in connection with this Application are true, correct and complete and may be relied upon by ZJOB, Inc. DBA CapFront (“CapFront”). Applicant authorizes CapFront to share this application and all supporting documentation with each of its representatives, successors, assignees, and designees including third party lenders and their servicers (collectively “Assignees”). Applicant further authorizes CapFront and all Assignees to request, receive, and review any investigative or credit reports, including comprehensive business and personal credit histories or hard credit pulls, and any other information regarding the Applicant and its owners and/or principals from third parties deemed necessary by CapFront or Assignees to verify any information provided on the Application 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. Applicant also consents to the release, by any credit or financial institution, of any information relating to Applicant, to CapFront and to each of the Assignees, on its own behalf. Furthermore, Applicant hereby waives and releases any claims against CapFront, all Assignees, and any information‐providers arising from any act or omission relating to the requesting, receiving or release of the information obtained in connection with this application. This authorization shall be valid for one hundred twenty (120) days unless revoked in writing by Applicant.

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Timestamp

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May 18, 2024 4:04 pm EDT

New Online Application Uploaded by Zachary Fiddle - z.fiddle@capfrontfunding.com IP 68.192.25.93

Funding Application

General Information

First Name:

Last Name:

Email:

Phone:

Website:

Language preference:

Business bank account?:

Business Information

Legal Business Name:

DBA Name:

Federal Tax ID Number:

Business Structure:

Date Founded:

Industry Type Services Provided:

No. of Employees:

Business Address:

Financial Information

Annual Revenue:

Average daily bank balance:

Open business loans:

Company Name 1:

Current Balance:

Date of Funding:

Company Name 2:

Current Balance:

Date of Funding:

Funding Request

Requested Funding Amount:

Requesting Funding Term:

Purpose of Funding:

Need Funding By:

Ownership Information

First name:

Last name:

Mobile Phone:

Email:

Birth Date:

Social Security Number:

Personal Credit Score:

Address:

US Citizen:

Percent Ownership (%):