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Application Form
Let's Get You The Funding
Home
Application
Application Form
1
Intro
2
Owner Info
3
Business Info
4
Financial Info
URL
This field is for validation purposes and should be left unchanged.
Introduction
Amount ($) of Funding You Would Like?
(Required)
Please enter a number from
5000
to
10000000
.
When do you need the money?
(Required)
Immediately
1-2 Weeks
30 days
More than 30 days
Personal Credit Score? (Provide your best estimate)
(Required)
500 and below
500-549
550-599
600-649
650-719
720 or above
Not sure
Gross Monthly Revenue?
(Required)
Less than $1,000
$1,000 - $5,000
$5,000 - $15,000
$15,000 - $20,000
$20,000 - $30,000
$30,000 - $50,000
$50,000 - $100,000
$100,000 - $200,000
$200,000+
Business Industry:
(Required)
Automotive
Construction
Transportation
Health Services
Utilities and Home Services
Hospitality
Entertainment and Recreation
Retail Stores
Professional Services
Restaurants & Food Services
Other
Other Industry Name
(Required)
Owner Info
Name
(Required)
First
Last
Owner’s date of birth
(Required)
Month
Month
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Email
(Required)
Phone Number
(Required)
Home address
(Required)
Owner’s social security number (SSN)
(Required)
Ownership percentage
(Required)
Please enter a number from
0
to
100
.
Do you have a 2nd Owner?
(Required)
No
Yes
2nd Owner Info
Name
(Required)
First
Last
Owner’s date of birth
(Required)
Month
Month
1
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Day
Day
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2027
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Home address
(Required)
Email
(Required)
Phone Number
(Required)
Owner’s social security number (SSN)
(Required)
Ownership percentage
(Required)
Please enter a number from
0
to
100
.
Business Info
Legal Business Name
(Required)
Business entity:
(Required)
Sole Proprietorship
Partnership-General and Limited
Non-profit
Corporation
Limited Liability Company
Business start date:
Month
Month
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Year
2027
2026
2025
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2020
2019
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2016
2015
2014
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2002
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1999
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1981
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Employer Identification Number (EIN)
(Required)
Business address
(Required)
Financial Info
Last 4 Business Bank Statements (Including Current Month) (You can take a screenshot of all your transactions for month-to-date statements if you cannot download it)
File Upload 1
Drop files here or
Select files
Max. file size: 2 GB.
Applicant’s signature
Consent
(Required)
I agree to the privacy policy.
By signing above, each of the listed Business Owner(s)/Officer(s)/Principal(s) and the Business (individually and collectively, “You”) certify that all information and documents submitted in connection with this Funding Application (“Application”) are accurate, true, correct, and complete, and that You will immediately notify WF (“Wiz Funder”) or any of its representatives, successors, assigns, designees, agents, partners, or affiliates (“Recipients”) of any change in such information or financial condition. You acknowledge that any false statements may be considered fraud. You acknowledge that the Recipients are relying on the information You provide. You further authorize Wiz Funder and each of the Recipients that may be involved with or acquire commercial loans having daily repayment features or purchases of future receivables, including Merchant Cash Advance transactions (collectively, “Transactions”), to obtain consumer or personal, business, and investigative reports and other information about You, including but not limited to 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, financial institutions, creditors, and other third parties. You authorize Recipients to receive relevant information regarding the commercial lease for the premises referenced above from your leasing company and/or agent. You also authorize Wiz Funder to transmit this Application, along with any of the information obtained in connection with this Application, to any or all of the Recipients for these purposes. A photocopy of the Application will be deemed acceptable for release of credit and/or investigatory information. By submitting this form and signing up for texts, you consent to receive marketing text messages (e.g., funding offers, payment reminders) from Wiz Funder at the number provided. Consent is not a condition of purchase. Message and data rates may apply. Unsubscribe at any time by replying STOP.