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Home
About Us
Business Financing
Term Loans
Merchant Cash Advance
Equipment Financing
Lease to Own
Sale Lease Back (SLB)
Equipment Rental
Refinancing
AR Financing
Apply Now
Apply Now
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BUSINESS FUNDING APPLICATION
Legal Name of Merchant (the “Merchant”)
Doing Business As (DBA) Name
Merchant Business Address (No PO Boxes)
Time in Business
First
Last
Website
City
Province
Postal Code
Business Legal Entity Type
Products or Services Sold
Business Phone
Business Fax
Amount of Funds Requested
Business Property
Rent
Own
Monthly Rent/Mortgage
Are you currently working with a non-bank financing company?
Yes
No
Total Annual Sales
Business Identification Number
If Yes, Company Name
& Current Balance
OWNER DETAIL
Full Name
First
Last
Date of Birth
Title in Business
Ownership Percentage(%)
Home Address
SIN
E-mail Address
*
City
Province
Postal Code
Home Phone Number
Cell Phone Number
Address
City
Postal Code
Phone Number
EMERGENCY CONTACT - ALL FIELDS ARE MANDATORY
Contact Name
Relation
Phone
SIGNATURES – ALL OWNERS MUST SIGN
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. You authorize us to collect, hold, exchange and disclose your personal information as requested in order to administer Years: _____ Months: _____ City Province Postal Code Date of Birth (mm/dd/yyyy) Title in Business Ownership Percentage SIN Home Phone Number Cell Phone Number Home Address E-mail Address City Province Postal Code funding and determine your insurance eligibility as required or permitted by law. You also authorize us to use your personal information for internal statistical analysis purposes. If you would like to review your own personal information, correct or revise existing information, have any questions, concerns or comments regarding it’s application please call 1 877 386 3664 or email info@servicecapital .ca (Attn: Privacy Office)
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