Funding Application

Take the first step towards your business growth. Fill out the application below to get matched with the perfect funding solution.

Business Details

Business Legal Name *

Legal Entity *

EIN / Federal State Tax ID *

Industry Type *

Date Business Started *

Business Website

Street Address *

City *

State *

Zip Code *

Business Property Status *

Owner / Principal Information

Owner #1 (Principal)

Primary

First Name *

Last Name *

Email Address *

Phone Number *

Date of Birth *

SSN (Social Security Number) *

Home Street Address *

City *

State *

Zip Code *

% of Ownership *

Funding Requirements

Amount Needed *

Average Monthly Revenue *

Reason for funding requirement *

Authorization & Signature

AUTHORIZATIONS: * By signing below, each of the above listed business and business owner/officer authorizes Integrated Advance LLC to process this application.

Owner Signature

Owner Name (Printed) *