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US Funding Services, LLC


P: 800.798.6862
F: 484.879.1803

 info@USFundingServices.com 

    APPLY NOW - Online Credit Application
  (or Download a PDF and fax to 610-594-0901).
Our goal is to serve you in a timely and professional manner.
Use this form to see what we can do for you.
All submissions are confidential.
(Fields marked in BOLD are required.)
Account Rep.

BORROWER INFORMATION
Entity Name:
Address:  
Floor/Suite:   City:   State:   Zip:
Phone:    Fax:    Email:
Business type:     In Biz since (yyyy-mm):
Federal Tax ID:         Annual Sales (per US tax return): $

BUSINESS OWNERSHIP
Owner Type: Sole Owner   Partnership   Corp.   LLC   LLP   Other
Name:     Title:
Social Security #:       % of Ownership:
Home Address:    Floor/Suite/Apt:
City:   State:   Zip:    
Phone:     E-mail:

Name:     Title:
Social Security #:       % of Ownership:
Home Address:    Floor/Suite/Apt:
City:   State:   Zip:    
Phone:     E-mail:

I agree that by submitting this form, I, the undersigned individual, recognizing that his or her individual credit history may be a factor in the evaluation of the credit of the applicant, hereby consents to and authorizes the above named business credit provider and any assignee, lender or funding service that may be utilized to obtain and use a consumer credit report on the undersigned, now and from time to time, as may be needed in the credit evaluation and review process and waives any right or claim they would otherwise have under Fair Credit Reporting Act in the absence of this continuing consent. Additional information such as bank statements, tax returns, and articles of incorporation may be required by the lending institution for approval.
 


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Toll Free: 800.798.6862   Fax: 484-879-1803