Business Loan Submission Form (ignore) - Business loan | personal loans | commercial real estate loans | term loans| mca loans|sba loans- Wambui Street

Step 1 of 6

(1/6) Business Funding Application

Business Legal Name(Required)

Business Name (Doing Business As)(Required)

What industry is your business in?(Required)

Entity Type (choose one)(Required)

Business Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone Number(Required)

Fax Number

Website(Required)

Business Start Date(Required)

Business Tax ID(Required)

Do you own/rent the business?(Required)

Monthly Amount ($USD) (if rented)

Property Value ($USD) (if owned)

Landlord Name (if applicable)

First Last

Landlord Phone Number (if applicable)

(2/6) Owner/Principal Information

Primary Owner

Name(Required)

First Last

Email(Required)

Phone Number(Required)

Social Security Number

Date of Birth

Your home is

Ownership %(Required)

Please enter a number from 0 to 100.

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Additional Owner (if applicable)

Name

First Last

Phone Number

Social Security Number

Date of Birth

Your home is

Ownership %

Please enter a number from 0 to 100.

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

(4/6) Debt Schedule

Number of companies you've lent money from(Required)

Please enter a number from 0 to 5.

Company/Lender 1 (if applicable)

Company You Loaned From

How much you loaned ($USD)

How much of the loaned amount you paid back so far ($USD)

How much of the loaned amount do you still owe ($USD)

How much are you paying back every Y (Y defined below)

Define Y (how often are you paying?)

What was the interest rate on that? (%)

Company/Lender 2 (if applicable)

Company You Loaned From

How much you loaned ($USD)

How much of the loaned amount you paid back so far ($USD)

How much of the loaned amount do you still owe ($USD)

How much are you paying back every Y (Y defined below)

Define Y (how often are you paying?)

What was the interest rate on that? (%)

Company/Lender 3 (if applicable)

Company You Loaned From

How much you loaned ($USD)

How much of the loaned amount you paid back so far ($USD)

How much of the loaned amount do you still owe ($USD)

How much are you paying back every Y (Y defined below)

Define Y (how often are you paying?)

What was the interest rate on that? (%)

Company/Lender 4 (if applicable)

Company You Loaned From

How much you loaned ($USD)

How much of the loaned amount you paid back so far ($USD)

How much of the loaned amount do you still owe ($USD)

How much are you paying back every Y (Y defined below)

Define Y (how often are you paying?)

What was the interest rate on that? (%)

Company/Lender 5 (if applicable)

Company You Loaned From

How much you loaned ($USD)

How much of the loaned amount you paid back so far ($USD)

How much of the loaned amount do you still owe ($USD)

How much are you paying back every Y (Y defined below)

Define Y (how often are you paying?)

What was the interest rate on that? (%)

(5/6) Terms & Conditions

If the information you provide is correct and you meet our criteria we can approve you on the same day in which case we will reach out to you via the contact information you provided. Please read the terms and conditions below.

Consent to Terms & Conditions(Required)

I agree to the terms & conditions specified below.

By checking this box you acknowledge that you are the applicant. The Applicant/Merchant and Owner(s)/Officer(s) Identified above (individually, an “Applicant”) each presents, acknowledges and agrees that (1) all information and documents provided to Wambui Street Financial Firm LLC (“Wambui Street”) including credit card processor and bank statements are true, accurate and complete, (2) Applicant will immediately notify Wambui Street of any change in such information or financial condition, (3) Applicant authorizes Wambui Street to disclose all information and documents that Wambui Street may obtain including credit reports to other persons or entities (collectively, “Assignees”) that may be involved with or acquire commercial loans having daily repayments features or purchase of future receivables including Merchant Cash Advance transactions, including without limitation the application therefore (collectively “Transactions”) and each Assignee is authorized to use such information and documents, and share such information and documents with other assignees, in connection with potential Transaction, (4) Wambui Street Assignees, and each of the their representatives successors, assignees and collectively, “receipts”) are authorized to request and receive any investigative reports, credit reports, statements from creditors or financial institutions, verification of information, or any other information that a Recipient deems necessary, (5) Applicant waives and releases any claims against Recipients and any information - providers arising from any act or omission relating to the request ing, receiving or release of information, (6) each wner/Officer represents that he or she is authorized to sign this form on behalf of Merchant, and (7) you understand that by signing the application immediately following this notice, you are providing “written instructions” under the Fair Credit Reporting act to Wambui Street, as your Sales Agent (“ISO”) and to each prospective funding entity receiving your application for working capital (“Funding Entities”) from ISO, thereby authorizing ISO and Funding Entities to obtain information from your personal consumer credit report and business credit profile and/or other information to confirm your identity to avoid fraudulent transactions in your name, determine pre-qualification for a commercial advance or any other lawful purpose covered under the Fair Credit Reporting Act.

Applicant

Applicant Name(Required)

First Last

Applicant Signature(Required)

Date of Applicant Signing

Co-Applicant

Applicant Name

First Last

Applicant Signature

Date of Applicant Signing

Business Loan Submission Form

(1/6) Business Funding Application

(2/6) Owner/Principal Information

Primary Owner

Additional Owner (if applicable)

(3/6) Financial Information

(4/6) Debt Schedule

Company/Lender 1 (if applicable)

Company/Lender 2 (if applicable)

Company/Lender 3 (if applicable)

Company/Lender 4 (if applicable)

Company/Lender 5 (if applicable)

(5/6) Terms & Conditions

Applicant

Co-Applicant

(6/6) Submission