Verifund Advance

Business Financing Application

Complete the form below to apply for business financing

Business Loan Application

Complete the form below to apply for business financing

BUSINESS INFORMATION
OWNER INFORMATION
LOAN REQUEST
BANK STATEMENTS

Please upload your business bank statements for the last 3-6 months. Accepted file types: PDF, JPG, PNG, DOC, DOCX

Drag and drop your files here

or

AGREEMENT AND SIGNATURE

Authorizations:

By completing and signing this document, the herein listed business and business owner (individually and collectively, "you") authorize VeriFund Advance ("VeriFund Advance") to obtain consumer reports, business reports, and related information, as well as to present this application to lenders for evaluation, negotiation, and decision purposes.

Consent to Receive Communications:

You agree to allow VeriFund Advance to transmit text messages and call your phone number(s), including cellular, regarding marketing, services, updates, and promotional materials.

Certification and Signature:

You certify that the information contained in this application is accurate and complete. You acknowledge that by providing your digital signature below, you agree to the terms and conditions stated above. The digital signature serves as a binding legal signature equivalent to a handwritten signature under the E-SIGN Act and the Uniform Electronic Transactions Act (UETA).

Notification of Denial:

If credit is declined, you have the right to a written statement of the reasons for denial within 30 days of your request.

Equal Opportunity Disclosure:

The Federal Equal Opportunity Act prohibits creditors from discriminating against credit applicants based on race, color, religion, national origin, sex, marital status, or age.

Please sign below using your mouse or touchscreen. This signature will be timestamped and verified.

Signature Verification Details:

IP Address: Loading...
Timestamp: Not signed yet

This information will be included with your application for verification purposes.