Apply Now For Funding | Gowanus Wakefield Group LLC

Email: info@gowanuswakefield.com Direct: 267.854.2177

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Small Business Loans
About Us
Partner Program
Knowledge Center
Contact Us

Is this funding for a Start-Up (under two years old) or an Existing business (over two years old?)

Multiple choice

Start-Up (under two years old)

Existing business (over two years old)

Contact Information

Business Legal Name (if no legal exists yet write "Start-Up")*

Business DBA (if applicable)

Business Phone Number

Website

Email

Address

City

State

Zip

Business Funding Request

BUSINESS INFORMATION

Legal Entity

Multiple choice

Corporation

LLC

Partnership

LP

LLP

Sole Proprietorship

Don't Know Yet/Haven't Incorporated yet

Business Start Date (or anticipated start date)

Your email*

Business Description*

Amount of New Funding Requested

Gross Monthly Sales (average of last three months)

Do you currently have one or more cash advances in place?

Yes

No

OWNER/PRINCIPAL INFORMATION

First Name*

Last name*

Title*

What is your estimated credit score?*

% of Ownership*

Address*

City*

State*

Zip Code*

Mobile Number*

Co-Owner Information

First Name

MI

Last Name*

Title*

What is your estimated credit score?

% Ownership

Address

City

State

Zip Code

Mobile Phone

By signing below, each of the above listed business and business owner/officer (individually and collectively. "you") authorize Loan Broker and each of its representatives, successors, assigns and designees ("Recipients") that may be involved with or acquire commercial loans or credit (personal or commercial) including without limitation the application therefore (collectively, "Transactions") to obtain 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 also authorize Loan Broker to transmit this application form, along with any of the foregoing information obtained in connection with this application, to any or all 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 Loan Broker and to each of the Recipients, on its own behalf.

Owner's Printed Name*

Owner Signature (Print Full Name)

Date

Co-Owner Printed Name

Co-Owner Signature (Print Full Name)

Date

Apply for Funding

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Contact Us:

2001 L. Street, N.W. Washington, D.C. 20036

267.854.2177

info@gowanuswakefield.com

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