Premium Funding Application - Lend On Capital

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Reserved for established US-based businesses. Lines of credit, long-term loans, and SBA-backed funding from $50K to $5M.

Business legal name*

Business legal name is required

Doing business as (DBA)*

If you do not have a DBA, enter the same legal name as above

Required

Business entity type*

LLC Corporation Sole-Prop

Select an entity type

Federal tax ID (EIN)*

9 digits, with or without the dash.

EIN must be 9 digits (XX-XXXXXXX)

Business start date*

When you first registered the business.

Business must be at least 1 year old

Business phone*

Enter a valid 10-digit US phone

Email address*

Enter a valid email address

Business website

Enter the domain only. No https:// or www needed.

Enter a valid domain (example.com)

Physical business address*

No PO Boxes. Home-based addresses are accepted. US only.

Complete the full business address

Choose your business industry*

Select your business industry

What does your business do?*

Tell us briefly about your business

Current business loans & balances

List any active business loans, MCAs, or lines of credit. Leave blank if none.

Lender name

Approximate outstanding balance

Funding request

How much funding do you need?*

Premium funding starts at $50,000.

Minimum funding amount is $50,000

What will the funding be used for?*

Select a use of funds

Average monthly revenue (last 6 months)*

Required

Annual revenue (calculated)

Calculated as monthly sales × 12

First name*

Required

Last name*

Required

What % of the business do you own?*

Enter a value between 1 and 100

Approximate credit score*

If not recently checked, take your best guess

Enter a value between 300 and 850

Mobile phone*

Enter a valid 10-digit US phone

Email address*

Enter a valid email address

Social Security Number (SSN)*

Encrypted. Used only to verify your identity. Never shared.

SSN must be 9 digits (XXX-XX-XXXX)

Date of birth*

Used for identity verification only.

Must be 18 to 100 years old

Home address*

Complete your home address

By signing below, you authorize Lend On Capital and its representatives, successors, and designees to obtain consumer, business, and investigative reports — including credit bureau data from TransUnion, Experian, and Equifax, as well as bank and processor statements — to evaluate your application for commercial loans or future receivable purchases. You further authorize the transmission of this application and all associated information to any involved third-party recipients, and consent to the release of your financial data by any creditor or institution to Lend On Capital on its own behalf. By providing your business contact information, you consent to receive correspondence via email and text message (approximately 10 messages per month; message and data rates may apply), acknowledging that text consent is not a condition of approval. Finally, you certify that all information provided in this application is complete, true, and accurate.

Applicant's signature*

Sign here

Signature required

First name (2nd)

Last name (2nd)

Remaining ownership

Calculated as 100 − primary owner %

2nd owner ownership %

SSN (2nd)

Date of birth (2nd)

Must be 18 to 100 years old

Email address (2nd)

Mobile phone (2nd)

Home address (2nd)

Secondary owner signature

Sign here (if applicable)

We couldn't submit your application. Please check your connection and try again. If the problem persists, call us at (844) 902-3080.

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Tell us about your business.

Tell us about your numbers.

About you.

Anyone else on the application?

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