Application | VS Global Funding Mortgages Made Easy

Business Physical Address*
Street Address Address Line 2 City State ZIP Code
Business Name:*
Business DBA Name:
Industry Type:*
Business Phone:*
Business Fax:
Company Website:

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Rent or Mortgage:
- Rent
- Mortgage
Mortgage or Rent Payment $
Landlord Name:
Landlord Phone:

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Home Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Full Legal Name:*
Home Phone:
Cell Phone:*
% of Ownership:*
Title:*
Date of Birth:*
MM slash DD slash YYYY
SSN:*
Email:*
Any Additional Business Owners?
Additional Owner Details
Home Address Owner 2:
Street Address Address Line 2 City State ZIP Code
Full Legal Name Owner 2:
Home Phone Owner 2:
Cell Phone Owner 2:
% of Ownership Owner 2:
Title Owner 2:
Date of Birth Owner 2:
MM slash DD slash YYYY
SSN Owner2:
Email Owner 2:

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Amount Requesting: $*
Use of Capital:*
Do you Currently have a Merchant Cash Advance?(If applicable)*
- Yes
- No
List all Cash Advances with Balances. Daily, Weekly, and Monthly Payment
Lender Balance Payment
When do you want to get funded?
- Now
- 15 Days
- 30 Days
- 45 Days
- 60 Days
Date Owner 1:
MM slash DD slash YYYY
Date Owner 2:
MM slash DD slash YYYY
Consent*
By signing below, each of the above listed business and business owner/officer (individually and collectively, “you”) certify that you are authorized to apply on behalf of the above listed business and all information provided is true and accurate. You agree to immediately notify VS Global Funding, LLC (“VSGF”) of any material change in financial condition. You authorize VSGF 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 therefore (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 VSGF 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 VSGF and to each of the Recipients, on its own behalf. Furthermore, you hereby waive and release any claims against VSGF, all Recipients, 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.
Consent approval
Signature Owner 1:*
Signature Owner 2:
Comments
This field is for validation purposes and should be left unchanged.

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Business Loans Application

Step 1 of 5 - Business Info

Additional Owner Details

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Lender	Balance	Payment