Personal Information Secure funding for your business with minimal personal risk and maximum financial flexibility. Legal First Name* Legal Last Name* Email Address* Phone Number* Business Owner’s Date of Birth* Business Owner’s Social Security Number* Business Owner’s Driver's License Number* State Issued* —Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Expiration Date* Previous | Next Business Information Explore our range of customized lending solutions and find the perfect financing solution for your business. Let's propel your business to new heights! Business Name* DBA Name Business Address* Federal/State Tax ID* Date Established Business Entity Type ProprietorshipOwnershipCorporationLimited Liability Company State of Incorporation —Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming DUNS Number Entity Type Name of Business Owner (If different from applicant) Business Owner’s Title Business Owner’s Home Address Percentage Ownership Company Website/Owner's Email Address Previous | Next Financing Details Explore the Ins and Outs of Financing with Merchant Flow. Provide the financing details for your business loan, and we'll connect you with the best funding Options and Opportunities Available. Type of Financing Requested Length of Financing Purpose of Financing Business Loan Type Amount Requested Gross Annual Sales Average Monthly Sales Lease or Mortgage YesNo Lease/Mortgage Payment Landlord/Lender Name Landlord/Lender Contact (Phone or Email) Previous | Next Equipment Financing Application Step 1: Company Bank Reference Please provide the following information regarding your company's bank reference: Name of Bank/Branch * Average Balance * Checking Account Number * Contact Officer * Phone Number for Contact Officer * Previous Next Equipment Financing Application Step 2: Loan or Lease Reference Please provide the required details regarding your loan or lease reference: Name * Original Amount * Loan Account Number * Loan Contact * Phone Number * Previous Next Equipment Financing Application Step 3: Dealer and Equipment Information Please provide the necessary details about the dealer and equipment: Dealer Name * Contact * Phone Number * Equipment Cost/Loan Amount * Equipment Description * Working Capital * YesNo Previous