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Business Information

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Business Legal Name DBA (Doing Business As) (optional) Business Description

Business Entity Type

Desired Funding Amount (USD/CAD)

Business EIN

Start Date

Industry

Annual Revenue

Use of Funds Existing Business Debt (optional)

Business Email

Business Phone

Business Address

City

State/Province

Zip/Postal Code

Owner Information

Full Name Date of Birth

SSN

Email

Phone

Home Address

City

State/Province

Zip/Postal Code

Do you rent or own?

Monthly Payment (optional)

Any personal bankruptcies?

Estimated Personal Credit Score

% of Ownership

Add Second Owner

Signature & Consents

Draw Your Signature

Date

SMS Messaging Consent

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Fargo Funding will not sell, rent, or share your mobile number with third parties or affiliates for marketing or promotional purposes.

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Second Owner Signature Email (optional)

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Business Funding Application

Business Information

Owner Information

Second Owner Information

Signature & Consents

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Country/region

Language

Business Funding Application

Business Information

Owner Information

Second Owner Information

Signature & Consents

Thank you!