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Complete the fields below and receive funds in as little as 24 hours

Legal Company Name *

Doing Business As *

Business Address *

Business Start Date *

Business Phone *

Business Email *

Website

Aproximate Annual Revenue *

Corporate Entity Type

Business ID Number *

Business Type

Number of Employees *

Personal Information

Majority Shareholder of the Business

IF LESS THAN 51% PLEASE COMPLETE ONE FORM PER OWNER

Name *

First

Last

Email *

Phone *

Home Address *

Date of Birth *

Percentage of Ownership *

SIN (optional)

Additional Info

All fields need to be completed

Busines Property *

Rent
Own

Monthly Payment *

Landlord Name

Landlord Phone

Working with a non-bank lender? *

Current Balance

Annual Salary

Annual Dividends

Have you ever filed bankruptcy? *

Reason

Supplier Contact Name

Supplier Contact Phone

Overdue balance with CRA/IRS? *

Current Balance

What is the intended use of funds? *

We require the last 6 months of business bank statements to process an approval. If you're having trouble uploading files, please email info@servicecapital.ca

By signing below, the Merchant and its owner(s) certify that all information and documents submitted in connection with this Application are true, correct and complete. Additionally, the owner(s) authorize the Funder or any of its agents, partners, and affiliates to contact the above landlord, supplier, and emergency contacts, as well as obtain and use business and non-business consumer credit reports from credit reporting agencies and any other information regarding the Merchant and its owner(s) from third parties, both at the time of the initial funding application and at any time after the Merchant has received funding as long as the Merchant remains a client of the Funder. At all times, the Funder will comply with the personal information collection, protection, use, sharing, and retention practices set out in the Funders Privacy Policy. *

Please read conditions above.

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