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Application

Submission For

See Your Loan Options for Free

First Name:

Last Name:

Email:

Phone:

Legal Company Name:

Business DBA Name:

About You

First Name:

Last Name:

Mobile Phone:

Owner Email:

Your Address:

Date of Birth

FICO Score

Social Security Number:

Do you own at least 51%?

Ownership %:

Signature Owner 1

Co-Owner

First Name:

Last Name:

Mobile Phone:

Co-Owner Email:

Your Address:

Date of Birth

FICO Score

Social Security Number:

Do you own at least 51%?

Ownership %:

Signature Owner 2

Each of the undersigned, who is either a Principal, Sole Proprietor or Personal Guarantor of the above-named business, recognizes that his or her individual credit history may be a factor in the evaluation of this application of the above named business for funding. Each of the undersigned hereby authorizes NYTG and its assigns and/or affiliate partners of NYTG to obtain his or her credit report (and any updates to his or her credit report) in connection with NYTG consideration of this application and any affiliate partners of NYTG in connection with any subsequent review of the account of the abovenamed business. Each of the undersigned hereby authorizes NYTG to utilize information including but not limited to calls, emails, texts and direct mail for marketing efforts from NYTG.

Business Details

Legal Company Name:

Business DBA Name:

Company Tax ID:

Business Address:

Business Phone Number:

Desired Loan Amount

Time In Business:

Annual Revenue

Utilization of Funds:

Business Start Date:

Monthly Revenue:

Company Type:

Nature of Business

Qualifying Questions

Any open Liens or Judgments?

Did you ever default on a cash advance?

Have you applied for the ERC Grant?

Was your business established no later than 2019?

Did you have less than 500 W-2 Employees in 2020?

Number of W-2 Employees in 2020:

Ever filed for bankruptcy?

Please specify bankruptcy year:

Please specify bankruptcy status:

Do you currently have a cash advance?

Do you have any collateral?

Cash Advance Info

Position #

Lender Name:

Frequency:

Current Balance:

Payment Amount

Payments(s) Left

Equity Advance Info

Property #

Property Address:

Asset Type:

Year Acquired:

Purchase Price:

Current Price:

Loan Balance:

Lender(s):

Lien(s):

Creditor(s):

Title Holder(s)

Upload Statements

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August, 2023

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September, 2023

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October, 2023

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November, 2023

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December, 2023 To Date

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