Capital One Spark and other Capwell Step 1 of 2 50% Business InformationLegal Business Name* Business Owner(s) or Credit Partners Information:List any owner with over 50% ownershipBusiness Owner Name or Credit Partner* First Last Cell Phone*Owners Address* Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Household Income* Personal Verifiable Income* Only verified if applying for Consumer Term LoanSSN#* Date of Birth* MM slash DD slash YYYY Retirement Assets over 30k?*NoYesBankruptcy within the past 2 years?*NoYes SignatureSTATEMENT OF ACCURACY The statement made in this, documents submitted electronically, and documents attached to this application are true and accurate to the best of my/our knowledge and belief. AUTHORIZATION TO OBTAIN INFORMATION I/We authorize Business Finance Suite and its affiliates and agents or any third party funder selected by Business Finance Suite, and credit card processor including but not limited to, Integrated Resource Network (IRN), to obtain whatever information regarding employment, bank accounts, and/or outstanding credit (mortgage, auto, personal, home improvement, charge cards, credit unions, etc.) that Business Finance Suite deems to necessary in connection with this application or in the course of review or collection of any credit extended in reliance of this application. I/ We authorize and instruct any consumer credit agency, commercial credit reporting agency, government agency, taxing authority, business or person to compile and furnish to Business Finance Suite any such information regarding us or our businesses as may be requested by Business Finance Suite. I/We agree that such information, along with this application, shall remain Business Finance Suite’s property whether or not the application is approved. This authorization will be valid for a period of two years from the date below or as long as applicant has an outstanding balance with Business Finance Suite or its affiliates. You authorize Business Finance Suite to verify or check any of the information given including credit references, background information and employment and to obtain credit bureau reports as Business Finance Suite deems necessary. You agree to immediately update Business Finance Suite if there is any material change in the information provided in any application forms, ownership, officers, financial status, contacts or other information for as long as you or successor or related entities conducts business with Business Financial Suite or it’s affiliate. A photocopy of this authorization will be as valid as the original. I understand that there is a success fee of 9.9% for each unsecured line approved. Typically this is paid by the borrower using the newly acquired business financing.Signature*Date* MM slash DD slash YYYY
