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Cash Advance for Your Retail Business 

 

Cash Advance Application

 

Complete the online application form below to find out if you qualify to receive a cash advance. Once completed and submitted you will be contacted within 48 hours by a Funding Advisor who will explain the recommended cash advance program for your particular situation. All information is held in strictest confidence and will never be shared. It is used only for the purpose of securing your funds. Your information will be transmitted securely through our website and will promptly be reviewed.

To qualify, you must:

• Have a business that accepts Visa/MasterCard as a form of payment.
• Process a minimum of $4,000 dollars a month.
• Provide 6-months of past Visa/MasterCard statements.  
• Have been in business at least 12 months. (exceptions may apply)

If you would like to speed up your cash advance approval, you may do the following after submitting your online application:

1.  Fax us your credit card processing statements for review.
2.  Provide documentation to explain all items relating to questionable credit history, bankruptcies, tax      liens, or delinquent lease obligations.
3.  Submit any information you might have omitted from the application.

Our Secure Fax Number is: 1-631-963-3199

BUSINESS INFORMATION
Legal Business Name: DBA (if different):
Business Phone: Toll Free: Fax:
Business Physical Address:
City: State: Zip:
Email: Web Site:
Fed Tax ID: State Tax ID: State of Inc:
Date Business Est: Length of Ownership: Legal Entity:
Intended Use of Funds: Business Type:
Products Sold: Monthly Visa/MC Volume: Total Monthly Sales:

BUSINESS OWNER INFORMATION
Owner #1 Name: Percentage of Ownership:
Home Address:
 City:
 State:
Zipcode:
 SSN:
 Home Phone:
 Cell Phone:
Drivers License: DL State:
Owner #2 Name: Percentage of Ownership:
Home Address:
 City:
 State:
Zipcode:
 SSN:
 Home Phone:
 Cell Phone:
Drivers License: DL State:

TRADE & BANKING INFORMATION
Bank Name:
 Phone Number:
 Contact Person:
Address:
 City:
 State:
 Zip:
Fax:
 Account#:
 ABA #:
Largest Vendor Name: Contact Name:
Phone:
 Fax:
 Account #:
2nd Largest Vendor Name: Contact Name:
Phone:
 Fax:
 Account #:
3rd Largest Vendor Name: Contact Name:
Phone:
 Fax:
 Account #:

PROCESSING INFORMATION
Visa/Mastercard % Card Swiped:
 % Manually Keyed with Imprint:
 % Manually keyed w/out Imprint:
 % Phone/Mail Order:
 % Internet:
 % Total = 100%

LANDLORD/MORTGAGE INFORMATION
Landlord Name:
 Landlord Phone:
 Landlord Fax#:
 How many years remaining on lease?:
Mortgage Bank Name:
 Bank Phone Number:
 Contact Name:
Account Number:
 Balance of Mortgage:
 Monthly Payment:
Comments:

Referring Agent:

 
 

Privacy Assurance: RetailerCash.com respects the privacy of our clients. The private information you are            submitting will be kept confidential and will not be resold to third parties.

 

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Customer Service: (877) 223-2999  
 
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*This is not a loan product

 Cash Advance For Your Business