Legal Name Of Business: (DBA) Doing Business As: Business Address City: State: Zip: Business Phone: Business Email: Business Start Date under current ownership: Type Of Business RetailWholesaleRestaurant TransportationService Other Type Of Entity: Sole ProprietorshipPartnershipLLCCorporationOther Federal Tax ID #: What is your average monthly gross revenue? 4k or Less5k-10k10k-20k20k-50k50k-100k100k-200k200k-500k500k-1M1M + Requested Funding Amount: 5k Or Less5k-10k10k-20k20k-50k50k-100k100k-500k500k-1M1M + Purpose of the Funds: Do you have any open Cash Advances or Business Loans? Corporate Officer / Owner Information Address: City: State: Zip: Home Phone: Mobile Phone: Email: % Of Ownership: Date of Birth: SSN#: What Is your approximate Credit Score Below 500500-550550-600600-650650-700700 Plus Bank Statement One Bank Statement Two Bank Statement Three Bank Statement Four BY typing your name below Applicant(s) recognize and agree to this as a legal signature and Applicant(s) authorize Fund It Forward Inc. and its assigned, agents, banks,as well financial institutions to obtain an investigative and/or consumer report(s) from a credit bureau or a credit agency and to investigate the references given on any other statements or data obtained applicant(s) and officers. Date: Send