Business Questionnaire

Legal Business Name *

What is your business entity type? *

DBA (Doing Business As)

EIN/Tax ID Number *

Business Start Date *

Industry Type *

Business Phone *

Business Address *

Business City *

Business State *

Business Postal Code *

Primary Owner Information

Are you a US Citizen? *

First Name *

Last Name *

Date of birth *

Social Security Number *

What is your credit score? *

Are you 100% owner of the business? *

Email *

Phone *

Address *

City *

State *

Postal code *

Financial Questionnaire

Estimated Annual Revenue *

Monthly Revenue *

Do you have any open advances? *

Is your business home based? *

Do you currently have any active bankruptcies? *

Upload Your Documents (Optional)

4 months Bank Statements

Voided Check

Photo ID or Passport

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages, each of the above-listed business and business owner (individually and collectively, "you") authorize Vidalyfe LLC dba SourcifyLending and each of its representatives, successors, assigns and designees ("Recipients") that may be involved with or acquire commercial loans having daily repayment features or purchases of future receivables including SourcifyLending Advance transactions, including without limitation the application therefor (collectively, "Transactions") to obtain a consumer or personal, business and investigative reports and other information about you, including credit card processor statements and bank statements, from one or more consumer reporting agencies, such as TransUnion, Experian, and Equifax, and from other credit bureaus, banks, creditors and other third parties. You authorize SourcifyLending to transmit this application form, along with any of the foregoing information obtained in connection with this application, to any or all of the Recipients for the foregoing purposes. You also consent to the release, by any creditor or financial institution, of any information relating to any of you, to SourcifyLending and to each of the Recipients, on its own behalf." In Addition, you expressly consent to receiving marketing and other calls and messages, to a landline, wireless or similar devices, including auto dialed and pre-recorded message calls, and SMS messages (including text messages) from Recipients, at telephone numbers that you have provided. Message and data rates may apply. Your consent to receive marketing calls is not required for your application; if you do not consent do not provide a cell phone number from the business.