Credit Application

Desired Amount Needed*
Type of Business*
What is main purpose of funds?*
Do you already have a business?*
Business Information
Legal Name of Business*
DBA
Phone Number*
Please enter a valid phone number.
FAX Number
Website Address
Business Address
State*
City*
Description of Business
Years in Business
Type of Business

CORPS-CORPLLCSOLE PROP/PARTNERSHIPNON-PROFIT
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Email*
[email protected]
Authorized Doc Signor
Credit Release & Ownership Information - Please list all over 20%
Name*

First NameLast Name
Company Position
Ownership*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Zip Code
Phone Number*
Please enter a valid phone number.
SSN
Date of Birth*

MonthDayYear
Date
Signature*

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Name

First NameLast Name
Company Position
Ownership
Address

Street Address

Street Address Line 2

CityState

Zip Code
Zip Code
Phone Number
Please enter a valid phone number.
SSN
Date of Birth

MonthDayYear
Date
Signature

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I hereby authorize our banks, trade references, and financial institutions the right to release credit information to RS Capital and/or its affiliates. The undersigned individual who is either a principal, a personal guarantor or a sole proprietorship of the credit applicant, recognizing that his or her individual credit history may be a factor in the evaluation of the credit history of the applicant, hereby consents and authorizes RS Capital or it's designee the use of a consumer report on the undersigned, from time to time as may be needed.

The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (providing that the applicant has the legal 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, EQUAL CREDIT OPPORTUNITY, Washington, D.C. 20580

AUTHORIZATION TO SEND TEXT MESSAGES
By signing this form, I authorize RS Capital and its affiliates to send text messages to my cell phone to convey information in regards to any and all business consulting matters, including the status of my credit application, any credit questions, to discuss any missing documents, and important financial data. I understand that standard text messaging rates will apply to any message received from RS Capital and its affiliates. I also understand that I orRS Capital may revoke this permission in writing at any time. I also agree to not hold RS Capital and its affiliates liable for any electronic messaging charges or fees generated by this service. I further agree that in the event my cell phone number or cell provider changes, I will inform RS Capital.
Signature

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Business Information

Credit Release & Ownership Information - Please list all over 20%