EMPIRE FUNDING & CAPITAL SOLUTIONS

COMMERCIAL FUNDING APPLICATION

BORROWER PERSONAL INFORMATION

Company Name *

Personal Guarantor First Name

Personal Guarantor Last Name

Email *

Phone *

Date of Birth *

Social Security Number *

Address *

Street Address

City

State

Country

Postal code

How long have you been living at this address? If less than 2 years, also include your previous addresses that covers two years and how long you've lived there. *

Primary Residence Details: *

1. Write all sources of provable income 2. How much do you receive monthly? 3. How long have you been receiving it? *

PERSONAL CREDIT

SETUP CREDIT MONITORING TO VERIFY YOUR TRIMERGE CREDIT SCORES

http://www.creditchecktotal.com

Record the information requested below, it should only charge your credit/debit card $1 for the first 7 days.

Username *

Password *

Go to profile and setup a security question and answer. What's the security question? *

What's the security answer? It's case sensitive, so enter EXACTLY the way you typed it? *

Pin# *

Experian Score? *

Equifax Score? *

TransUnion Score? *

Feel free to add any additional details relevant to this questionnaire.

REAL ESTATE SUBJECT PROPERTY

What's the subject property full address? *

Reason For Funding *

Appraised Value/Purchase Price *

Requested Funding Amount *

What type of property is this? *

RELEVANT INFORMATION

Existing Real Estate Owned: Please list the full addresses of all real estate owned, approximate appraised value, balance owed, rental income, monthly payment. If it's easier feel free to upload on a separate document below. If uploaded, simply input in the box, DOWNLOAD DOCUMENT BELOW *

Upload Existing Real Estate

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Can you prove your personal and business income? If yes, please indicate last two years personal income and last two years business income. *

Feel free to share any relevant details relative to this application that you feel would be beneficial.

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.

All information submitted is true and accurate and does not contain any intentional false information.