Funding Application

What type of Funding are you Applying for?

Business Funding Real Estate Funding

Legal Business Name

Doing Business As (DBA)

Company Email

Business Phone

Business Structure

Federal Tax ID

Industry

Average Monthly Deposits

Business Date Founded

Business Owned Since

Business Website (Optional)

Do You Rent or Own your Home?

Rent Own

Primary Business Location

Street Address

Street Address Line 2

City

State

Zip Code

Owner Information

Job Title

First Name

Middle Name

Last Name

Date of Birth (DOB)

Social Security Number (SSN)

Percent of Ownership

Phone

Home Owner Address

Street Address

Street Address Line 2

City

State

Zip code

Add Additional Owner?

Yes No

Financing Information

Amount Requested

Credit Score Estimate

Primary Use Of Funds

Current Loans or Advances

Are you currently paying back any business loans or cash advances?

Yes No

Upload Required Documents

Most Recent 3 Months of Bank Statements

Deal Notes Anything else you would like to add?

Deal Notes

Acknowledgement

By checking this box, I confirm that I am either the applicant completing and signing this application for myself, OR an authorized partner submitting this application on the applicant’s behalf with their explicit written permission. I understand and agree that this application may include sensitive personal and financial information such as Social Security Number, bank statements, identification documents, and business financial records, and I authorize Reveal Lending to receive, store, and share this information with its lending partners for the purpose of evaluating funding options. I further acknowledge that Reveal Lending does not pull credit and that any credit inquiries will be conducted by the lender(s) directly. If I am submitting on the applicant’s behalf, I certify that I have obtained written authorization from the applicant to provide their information and to sign this application as their authorized representative, and I agree to provide proof of such authorization upon request. *

I agree to share sensitive financial information such as Federal Tax ID and Social Security Number.

Signature