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Section A

Company Information

Legal Entity

Section B

Company Financial Profile

Does Company Rent or Own
Does company have outstanding business funding?
If yes, identify funder and balances below

Section C

Owner Information

Owner Information (1)
Are you a US Citizen?
Transmitted securely and used only for identity verification in the funding review.
Home is:
Owner Information (2)
Are you a US Citizen?
Transmitted securely and used only for identity verification in the funding review.
Home is:

Section D

Additional Questions

Do you currently accept credit card transactions?
If not, do you wish to accept credit card transactions?

Section E

Authorizations and Notice

By signing below, each of the above listed business and business owners (individually and collectively, 'you') authorise Funding Desk/Primo Solution Funding and/or any third party lenders, as well as each of their respective affiliates, successors, assigns and designees ('Recipients') to obtain consumer, personal and business reports and other information about you, including credit card processor statements and bank statements, from one or more consumer reporting agencies, such as TransUnion, Experian and Equifax, and from other credit bureaus, banks, creditors and other third parties. You also authorise FD/PSF to transmit this Application, along with any information obtained in connection with this Application excluding consumer credit reports, to any or all of the Recipients. Further, you give FD/PSF and/or any third party lenders, as well as each of their respective affiliates or agents acting on their behalf, permission to call and/or send you text/SMS/fax messages at the phone number(s) provided above, including your wireless number, using an automated telephone dialing system or other similar system for marketing purposes.

If your Application for business credit is denied, you have the right to a written statement of the specific reasons for the denial within 30 days of FD/PSF receiving your request for the statement. To obtain the statement, please contact FD/PSF at the above email address or phone number within 60 days from the date you are notified of the credit decision. The Federal Equal Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant's income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is the Federal Trade Commission, 600 Pennsylvania Ave. NW, Washington, DC 20580.

Supporting documents

Secure document upload

Choose the files you’d like to include. A list of selected files is sent with your application request for the FundingDesk team to review.