Working Capital -

Please complete the loan application form below to submit your loan application online. Your application is secure and we do not share any of your information.

Business Information

Legal Business Name*

Business DBA Name

Type of Business Entity (Check One)

Primary Business Structure (Check All That Apply)

Home-Based Business
E-Commerce
Franchise
None of the Above

Does the Merchant have any open MCA or loan accounts? (Check one)

Yes
No

Federal Tax ID

Industry Type (Describe)

Current Credit Card Processor

State of Incorporation

State

Use of Proceeds

Business start date under current Ownership

Merchant Email Address

Physical Street Address

Street Address Address Line 2 City State ZIP Code

Billing Address (if different than above)

Street Address Address Line 2 City State ZIP Code

Preferred Contact Phone Number

Business Location(s)

Rented
Mortgaged

Business Location(s)

Average Monthly Credit Card Volume

Average Transaction Amount

Gross Annual Sales (From previous year's Tax returns)

List the Total Business Bank Deposits and # of Days with a Negative Balance

(Last Month) Total Business Bank Deposits

(Last Month) # of Days with a Negative Balance

(Two Months Ago) Total Business Bank Deposits

(Two Months Ago) # of Days with a Negative Balance

(Three Months Ago) Total Business Bank Deposits

(Three Months Ago) # of Days with a Negative Balance

(Four Months Ago) Total Business Bank Deposits

(Four Months Ago) # of Days with a Negative Balance

Borrower Information

Owner/Officer is Primary Contact?

Yes
No

Name*

First Last

Social Security Number*

Date Of Birth*

Email*

Phone Number*

Street Address*

Street Address Address Line 2 City State ZIP Code

Authorization

By signing below, each of the above listed business and business owner/officer (individually and collectively, "you") authorize Sully Knows Financing ("SKF"), 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 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 SKF 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. You also consent to the release, by any creditor or financial institution, of any information relating to any of you, to SKF and to each of the Recipients, on its own behalf.

Borrower's Signature*

Borrower's Name*

First Last

Additional Information

Merchant Cell Phone #

Merchant Fax #

Merchant Web Address

Landlord Name

First Last

Landlord Contact #

Is Your Business Seasonal?

Yes
No

If yes, what are the peak months?

Any Judgments/Liens?

Yes
No

Any Open Bankruptcies?

Yes
No

Second Owner Name

First Last

Second Owner % Ownership

Business Trade References

Reference #1

Reference Phone #

Reference #2

Reference Phone #

Reference #3

Reference Phone #

In order to process your application, we will also require the last three (3) months of business bank statements. Please upload this information below, or you may send it directly to our office by email at sullyknowsfinance@gmail.com, or by Fax at (888) 557-0993. For any additional questions, please contact our office at (678) 799-1349.

Business Bank Statement Upload

Drop files here or

Max. file size: 512 MB.