Apply – Money Tree Merchant Services

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Email Address *

Mobile Phone *

Amount Requested *

Use of Funds *

Permission to Contact *

By checking this box and submitting this form the Borrower agrees to authorize Money Tree Merchant Services to contact the Borrower at the telephone, cell phone, email or direct mail contact data provided in this form for purposes of fulfilling this inquiry about business financing, even if the Borrower has previously indicated a preference of "do not call" or "do not email" with a government registry or with Money Tree Merchant Services. Also, the Borrower agrees that we may deliver a response to the pre-approval request to the email address provided. By agreeing to communicate with Money Tree Merchant Services about this pre-approval request by email, the Borrower agrees to retain (whether by printing or saving electronically) the communications and documents that we email. If the Borrower is unable to print or retain the information, or wishes to revoke the agreement to be contacted about this qualification inquiry by email, the Borrower agrees to call Money Tree Merchant Services at 516.605.2667.

Applicant Information

First Name *

Last Name *

Date of Birth *

Social Security Number *

Ownership Percent *

Business Title *

Home Address *

Address Line 1 *

Address Line 2

City *

State *

Zip *

Co-Owner / Partner Information (required if no single owner holds 51% or more)

Co-Owner First Name *

Co-Owner Last Name *

Co-Owner Email *

Co-Owner Mobile Phone *

Co-Owner Date of Birth *

Co-Owner Social Security Number *

Co-Owner Ownership Percent *

Co-Owner Business Title *

Co-Owner Street Address *

Co-Owner City *

Co-Owner State *

Co-Owner Zip *

Business Information

Business D/B/A Name *

Business Legal Name *

Tax ID (EIN) *

Business Contact Number *

Incorporation Type *

State of Incorporation *

Business Start *

Type of Business *

Own/Lease Property *

Average Monthly Revenue *

Open MCA/Loan Balance

Open MCA/Loan Balance Amount

Website

Business Address *

Address Line 1 *

Address Line 2

City *

State *

Zip *

Upload Documents

Please upload your most recent business bank statements (and any other requested documents).

Upload Documents

Allowed file types: JPG, PNG, GIF, WebP, SVG, PDF, DOC, DOCX, XLS, XLSX, PPT, PPTX, CSV, TXT, RTF

Let’s get started with your funding application

Applicant Information

Business Information

Upload Documents

Company

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