Funding Application

Legal Name Of Business:

(DBA) Doing Business As:

Business Address

City:

State:

Zip:

Business Phone:

Business Email:

Business Start Date under current ownership:

Type Of Business:

Type Of Entity:

Federal Tax ID #:

What is your average monthly gross revenue:

Requested Funding Amount:

Purpose of the Funds:

Do you have any open Cash Advances or Business Loans?

Name of Corporate Officer / Owner:

Address:

City:

State

Zip:

Home Phone:

Mobile Phone:

Email:

% Of Ownership:

Date Of Birth:

SSN:

What is your approximate Credit Score:

Bank Statement 1

Bank Statement 2

Bank Statement 3

Bank Statement 4

By typing your name below Applicant recognizes and agrees to this as a legal signature and Applicant authorizes Rush Hour Funding LLC, its assigned agents, banks as well as financial institutions to obtain an investigative and/or consumer report(s) from a credit bureau or a credit agency and to investigate the references given on any other statements or data obtained from such applicant.

Type Name:

Date: