Lendek LLC
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BUSINESS INFORMATION
Legal/Corporate Name
DBA
Tax ID / EIN
Entity Type
Sole Proprietorship
Corporation
LLC
Others
Type of Business
Product/Services Offered
Length of Ownership
Date of Incorporation
*
Email
*
Phone
Street Address
State
City
Zipcode
Use of Funds
How Much Are You Looking For?
Do You Accept Credit Cards?
Yes
No
Do you currently have a cash advance?
Yes
No
Security and Tax
BUSINESS OWNER INFORMATION
Name
*
First
Last
Social Security Number
Date of Birth
Owner %
*
Street Address
City
State
ZIP Code
Home Phone
Cell Phone
Is there a business partner
Yes
No
Credit Score
500-550
550-600
600-650
650-700
700-750
750-800
800-850
Terms
By signing below, each of the above-listed business and business owner/officer (individually and collectively, “you”) authorize First National Merchant Funding LLC DBA Lendek 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 a 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 Lendek 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 Lendek, and to each of the Recipients, on its own behalf. You consent to receive e-mail, text messages, facsimiles, and telephone calls from Lendek, its employees, and agents to the numbers you have provided. You consent to receive these communications regardless of whether your telephone numbers appear on state or federal Do Not Call lists, and this consent for messaging does not bind you to any term of your application or advance. Std. cellular rates will apply.
Signature
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Date
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Upload 3 Bank Statements (CA and NY require 4)
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