Apply for Funding - Your Lender Advisors

Instructions: Please complete all sections thoroughly. Fields marked with * are required. All information provided will be kept strictly confidential and used solely for evaluating your funding request.

1. Business Information

Legal Business Name *

DBA (Doing Business As) - if applicable

Federal Tax ID (EIN) *

Date Established *

Business Address *

City *

State *

ZIP Code *

Business Phone *

Business Email *

Business Structure *

Industry/Type of Business *

Number of Employees

Website (if applicable)

2. Owner/Principal Information

Full Name *

Title/Position *

Ownership Percentage *

Home Address *

City *

State *

ZIP Code *

Mobile Phone *

Email *

Social Security Number *

Date of Birth *

3. Financial Information

Annual Revenue (Most Recent Year) *

Average Monthly Revenue *

Current Monthly Expenses

Estimated Credit Score

Do you have existing business debt?

Yes

If yes, approximate total debt amount

4. Funding Request

Amount Requested *

Desired Repayment Term

Purpose of Funding * (Check all that apply)

Working Capital

Equipment Purchase

Inventory

Business Expansion

Commercial Real Estate

Debt Refinancing

Other

Please describe in detail how the funds will be used *

When do you need the funding?

5. Collateral (if applicable)

Are you able to provide collateral?

Yes

If yes, please describe available collateral

6. Additional Information

Have you previously applied for business financing?

Yes

If yes, please provide details

How did you hear about Your Lender Advisors?

Additional comments or questions

Authorization and Agreement

By signing below, I certify that all information provided in this application is true and accurate to the best of my knowledge. I authorize Your Lender Advisors to verify this information and obtain credit reports and other financial information as necessary to process this funding application. I understand that providing false information may result in immediate rejection of this application and potential legal consequences.

Applicant Signature *

Date *

After clicking submit, your default email client will open with the application details.
Alternatively, you can call us at (347) 515-6599 to complete your application over the phone.