Business Loan Application — Four Corner Funding

Business Loan Application

Powered by Four Corner Funding • Secure Application

1

Business

2

Ownership

3

Financial

4

Funding

5

Documents

6

Disclosures

7

Compliance

8

Sign

Business Information

Business Contact Full Name *

Legal Business Name *

Business Email *

Business Phone *

Business Street Address *

State *

City *

Other City *

Postal Code

Industry Type *

Entity Type *

Years in Business *

Number of Employees

Ownership Information

First Name *

Last Name *

Email Address *

Mobile Phone *

Date of Birth *

Applicants must be at least 18.

Social Security Number *

Citizenship Status *

Ownership Percentage *

%

Home Street Address *

Country

State *

City *

Other City *

ZIP Code

Additional Owners / Co-Borrowers

Add anyone else with an ownership stake or who will guarantee this funding.

Financial Information

Average Monthly Revenue *

$

Annual Revenue

$

Business Bank Name

Business Checking Opened *

Estimated Credit Score Self-reported

Business Credit Score

Do you have existing business debt? *

Yes No

Outstanding Debt Balance *

$

Funding Request

Requested Amount *

$

Preferred Funding Type *

Purpose of Funds *

Timeframe Needed

Tell us more about the purpose *

Collateral Available

Upload Documents

Upload whatever you have ready. Nothing here is required to submit — anything missing can be added later.

Driver’s License

Click or drag files here

PDF, DOC, XLS, CSV, PNG, JPG — up to 10MB each

Voided Business Check

Click or drag files here

PDF, DOC, XLS, CSV, PNG, JPG — up to 10MB each

EIN / Corporation Docs

Click or drag files here

PDF, DOC, XLS, CSV, PNG, JPG — up to 10MB each

Business Bank Statements

Click or drag files here

PDF, DOC, XLS, CSV, PNG, JPG — up to 10MB each

Equipment Invoice / Quote

Click or drag files here

PDF, DOC, XLS, CSV, PNG, JPG — up to 10MB each

A/R Aging Report

Click or drag files here

PDF, DOC, XLS, CSV, PNG, JPG — up to 10MB each

Business Plan

Click or drag files here

PDF, DOC, XLS, CSV, PNG, JPG — up to 10MB each

Business Tax Returns

Click or drag files here

PDF, DOC, XLS, CSV, PNG, JPG — up to 10MB each

Personal Tax Returns

Click or drag files here

PDF, DOC, XLS, CSV, PNG, JPG — up to 10MB each

Miscellaneous Documents

Click or drag files here

PDF, DOC, XLS, CSV, PNG, JPG — up to 10MB each

Others

Click or drag files here

PDF, DOC, XLS, CSV, PNG, JPG — up to 10MB each

Disclosures and Consent

Credit Pull Authorization. I authorize Four Corner Funding and its funding partners to obtain my personal and business credit reports from one or more consumer reporting agencies in connection with this application, and to re-access those reports for as long as this application is being considered.

Terms & Conditions Acceptance. I have read and accept the terms and conditions and the privacy policy governing this application, and I confirm that the information I am providing is complete and accurate.

Federal Compliance Disclosures

Answer every question. A Yes to any of them does not disqualify you, but it does need an explanation below.

Have you or the business ever filed for bankruptcy? *

Yes No

Are there any pending lawsuits against you or the business? *

Yes No

Have you ever defaulted on a federal loan? *

Yes No

Are you currently delinquent on any federal debt? *

Yes No

Have you been charged with or convicted of a criminal offense? *

Yes No

Are you currently on parole or probation? *

Yes No

Have you been suspended or debarred from federal programs? *

Yes No

Are there outstanding judgments or liens against the business? *

Yes No

Are there outstanding judgments or liens against any owner? *

Yes No

Explanation *

Review, Attestation and Authorization

Sales Representative (if assigned)

Referral Source

Please tell us more *

Type your full legal name as your electronic signature *

I consent to sign this application electronically, and I agree that my typed name above is my legal signature.

I certify that every statement in this application is true, accurate and complete to the best of my knowledge.

I authorize Four Corner Funding to verify the information provided, including obtaining credit, banking and business records as needed to evaluate this request.

I understand that this electronically signed application is legally binding, and that knowingly submitting false information may carry civil or criminal penalties.

Submitting sends this application directly to Four Corner Funding over an encrypted connection.

Application Submitted!

Thank you for applying with Four Corner Funding. Our team has received your application and will contact you shortly.

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