Quick Application for Capital

Enter your desired loan amount.

Enter your desired loan amount.

Time in Business

How long have you been operating your business?

Monthly Revenue

What is your average monthly revenue?

Personal Credit Score

What is your estimated personal credit score?

What business is receiving the funding?

By selecting "Next" you agree to our Terms of Service and Privacy Policy.

Business Entity

What is your company ownership?

Business Address

Is this a home based business?

Are you the sole owner?

Company ownership

Ownership Percentage (%). Please enter a number from 0 to 100.

What number of owners in your company?

Fill out the details for other owners

2nd Owner

Fill out the details for other owners

3rd Owner

Fill out the details for other owners

Please fill out First Name, Last Name, Phone (optional), Email and number of percentage (%)

Business start date

What month and year did you start your business?

Month*
Year*

Use acquisition date if not founder

Your Date of Birth

Tax Details

Please enter SSN or ITIN number

How could you best use the funds?

When could you use the money?

Consent to Funding

This Request for Funding Application (“Application”) is a request by the above-listed business and business owners (individually and collectively, the "Applicant") to obtain funding through GoHighLevel. All information and documents that the Applicant provides on or in connection with this Application (“Applicant Data”) are governed by the GoHighLevel Privacy Policy and subject to the terms of the GoHighLevel Terms of Service. The Applicant certifies that: The Applicant is authorized to submit this Application on behalf of the above-named business. All Applicant Data submitted in connection with this Application is true, correct, and complete and may be relied upon by GoHighLevel, its affiliates, subsidiaries, and any funding providers that receive such Applicant Data. The Applicant will notify GoHighLevel immediately of any material changes to the Applicant Data, including its financial condition. The Applicant consents to GoHighLevel using their data to contact them via text or SMS for marketing purposes. Notice of Credit Decision If your Application is submitted to a funding provider and subsequently denied, you have the right to request a written statement of the specific reasons for the denial within 30 days of GoHighLevel receiving your request. To obtain the statement, contact GoHighLevel Support at [email protected] within 60 days from the date you are notified of the credit decision. Equal Credit Opportunity Act (ECOA) Compliance The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants based on race, color, religion, national origin, sex, marital status, or age (provided the applicant has the 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: Federal Trade Commission 600 Pennsylvania Ave. NW, Washington, DC 20580 GoHighLevel Contact Information GoHighLevel, LLC 20333 SH 249, Suite 200 Houston, TX 77070 United States www.gohighlevel.com Email: [email protected]

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

Please verify your bank account

Upload latest three months bank statements and current month bank statement in PDF formats

Last three months statements

Additional bank statements

Additional Statement