Evergreen

    First Name*
    Last Name*
    Primary Phone*
    Email*
    How much do you need?*
    How soon do you need it?*
    Purpose of funds?*
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    Legal Company Name*
    DBA*
    Business Address*
    Country*
    State*
    City*
    Postal Code*
    Rent Or Own this location?*
    Industry*
    Business Tax ID*
    Entity Type*
    Date Established*
    Month
    Day
    Year
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    First Name*
    Last Name*
    Home Address*
    Country*
    State*
    City*
    Postal Code*
    Mobile Phone*
    % Ownership*
    Social Security Number*
    Email Address*
    Date Of Birth*
    Month
    Day
    Year
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    Annual Revenue*
    Average Bank Balance*
    Rent Or Own this location?*
    Do you have any existing business loans or cash advance?*
    Upload your last four months bank and/or credit card statements below
    Additional Documents

    By signing below, each of the above listed business and business owner/officer (individually and collectively, “you”) authorize Evergreen Funding Solutions, LLC (“EFS”) 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 therefor (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 EFS 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 EFS and to each of the Recipients, on its own behalf.

    You understand that by clicking on the SUBMIT button immediately following this notice, you are providing 'written instructions' to Evergreen Funding Solutions and our vendors under the Fair Credit Reporting Act authorizing Evergreen Funding Solutions and our vendors to obtain information from your personal credit profile or other information from TransUnion, LexisNexis and other relevant sources public and private. Clicking the SUBMIT button will be your electronic signature on your 'written instructions.' You authorize Evergreen Funding Solutions and our vendors to obtain such information to confirm your identity to avoid fraudulent transactions in your name and determine prequalification for a commercial loan.

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    Online application

    Business Funding in as Little as 24 Hours!

    Questions?

    If you are unsure about anything, or if you have questions, please send us a message or contact info@evergreenfunders.com. We’ll be happy to assist you.