Full Name
Phone
*
Address
Street Address
Country
Enter your country
State
City
Postal Code
Email
*
Legal Business Name
Business Purpose / What does your business do?
NAICS Code
Business Entity Type
LLC
S Corporation
Corporation
Partnership
Sole Proprietorship
Other
Date Business Was Established
EIN
State of Incorporation / Registration
Business Address
What type of funding are you looking for?
Business Credit Cards
Business Line of Credit
Business Loan
SBA Loan
Equipment Financing
Working Capital
Startup Funding
Real Estate Funding
Other
How much funding are you looking for?
Under $25,000
$25,000 to $50,000
$50,000 to $100,000
$100,000 to $250,000
$250,000 to $500,000
$500,000+
Not Sure
What will the funding be used for?
What bank does your business currently bank with?
Do you currently have any business credit cards, loans, or lines of credit?
Yes
No
Other
Are there any banks or financial institutions you have had a negative relationship with that we should avoid?
Yes
No
How much does the business make monthly?
If you don’t have the cash flow or tax returns and you had to invest for them are you open to invest?
Please list the banks, lenders, credit limits, and current balances.
Upload your most recent 2 to 3 months of bank statements to help us review your funding eligibility PDF, JPG, or PNG files are accepted
Please upload your most recent bank statements.
Upload a copy of your Government Issued ID
Upload your Articles of Incorporation / Articles of Organization
Upload your most recent Business Tax Returns
Upload your EIN Confirmation Letter
Upload your Social Security Card
Is there anything else we should know about your business, credit profile, or funding situation?
Final Confirmation
I confirm that the information provided in this form is accurate to the best of my knowledge.
I understand that submitting this form does not guarantee funding or approval.
I authorize Fly Motion Funding to review the information and documents provided for the purpose of evaluating potential funding options.