Funding Application

2 Steps to Funding

Thank you for placing your trust in FundTek. Please take a few minutes to complete the form below. We will process your request right away.
Legal Company Name *
EIN / Tax ID*
Business Start Date

MonthDayYear
Date
FICO Score*
Percent Ownership*
Amount Requested*
How soon do you need the funds?
Business Address*
Business City*
Business State *
Business Zip Code *
Partner First Name *
Partner Last Name *
Percent Ownership*
Partner SSN *
Partner Date of Birth*

MonthDayYear
Date
Phone Number*
First Name*
Last Name*
Date of Birth*

MonthDayYear
SSN*
Mobile Phone *
Email *

1 Step to Funding

Basic Documents
Bank Statement(s)

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Supported formates are PDF, JPG, JPEG, PNG, TIFF less than 10mb

Please include the last 4 months of business bank statements
By signing below, you authorize FundTek Capital Group, LLC and its affiliates to obtain credit, financial, and background information about you and your business from third parties, including consumer reporting agencies (e.g., TransUnion, Experian, Equifax), credit bureaus, banks, and other relevant sources. This includes bank and processor statements, investigative reports, and any data needed to evaluate or facilitate funding transactions. You also authorize FundTek to share this information with its partners, lenders, and assignees as necessary for funding evaluation. Furthermore, you consent to be contacted by text, email, or phone regarding your application.
Owner's Signature*

Clear
Partner Signature*

Clear
Should be Empty:

2 Steps to Funding