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 ("RHF"), 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. By signing below Applicant also agrees to opt in to receive phone calls, emails, SMS messages and other forms of correspondences from "RHF" and other third parties involved to assist in the process and promote and market other services that can serve as a benefit to the applicant and their business.

Type Name:

Date: