Business Funding Request

Requested Funding Amount *

Average Monthly Revenue *

Estimated Credit Score *

Business Name *

Business Type/Industry *

Time in Business *

First Name *

Last Name *

Phone *

Email *

Company Info

Business DBA Name (If Applicable)

Business Address *

City *

State / Province *

ZIP / Postal Code *

Rent or Own? *

Business Phone Number *

Business Website

State of Incorporation *

Federal Tax ID *

Do you have an outstanding merchant cash advance? *

If yes, please enter the remaining balance (approximate)

Owner Info

Your Address *

City *

State / Province *

ZIP / Postal Code *

Social Security Number *

Date Of Birth *

Driver’s License Number *

Driver’s License State *

Business Ownership % *

What do you intend to use the funds for? *

How did you hear about us? *

By signing below, the merchant and its owners/principals: (1) certify that all information and documents submitted with this application are true, correct, and complete, and agree to promptly notify Trulo MCA LLC or its representatives, agents, partners, or affiliates of any change in such information or financial condition; (2) authorize Trulo MCA LLC and its partners to obtain credit reports, bank statements, credit card processor statements, and other business or personal information from credit bureaus, financial institutions, landlords, and other third parties, and to share this information with funding partners for the purpose of evaluating this application, including transactions such as commercial loans with daily or weekly repayment features or purchases of future receivables including merchant cash advance transactions; and (3) acknowledge that any false statements may be considered fraud and that the Recipients are relying on the information provided.

Bank Statements

Most Recent Business Bank Statement *

2nd Most Recent Business Bank Statement *

3rd Most Recent Business Bank Statement *