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Free Credit Card Sales Advance Loan Application Form

APPLY NOW!

Fill out the below free quote sheet and fax to

(630) 563 2325 

       FRANK KOVICH  

       (630) 229-5740

        Locator ID# 501582   

        E-MAIL: Quoteanote@gmail.com

    Please print out and fill in the blanks below. All fields are required. Please provide exact, accurate responses to each question and do not estimate anything. Instead, take the time to gather the information directly from your cash flow note or other paperwork. Remember, the offer we make you will be based directly on the information you provide, and if during due diligence we discover the information you provided was not completely accurate, we will have no choice but to modify or rescind our offer. HELP US HELP YOU!

For Credit Card Sales Advance Loan Only

Applicant's Name:

 

 

General Information -Credit Card Sales Advance

D.B.A.:

 

 

Corporation/Legal Name:

 

 

Physical Address:

 

 

City, State, ZIP:

 

 

Phone:

 

 

 

 

 

Fax:

 

Cell:

 

 

Email:

 

 

Type of Ownership:

 

 

Month/Year Business Started (xx-xxxx):

 

 

Federal Tax #:

 

 

Corporate Officer:

 

 

Title:

 

 

Home Address:

 

 

City, State, ZIP:

 

 

Corporate Officer SSN:

 

 

 

 

 

DOB (xx-xx-xxxx):           

  

 

   Home Phone:

 

 

Business Bank Name:

 

 

 

 

City, State, ZIP:

 

 

 

 

Bank Contact:

 

 

Phone:

 

 

Landlord Name:

 

 

Phone:

 

 

 # of Employees:

 

 

Rent:

 

 

Square Feet:

 

 

Trade References

Business Name:

 

 

Contact:

 

 

Phone:

 

 

Business Name:

 

 

 

Contact:

 

 

 

Phone:

 

 

 

Business Name:

 

 

Contact:

 

 

Phone:

 

 

Merchant Information

Total Monthly Income:

 

 

Visa/MasterCard Monthly Income:

 

 

Current Credit Card Processor:

 

 

Credit Card Processor Phone:

 

 

Terminal Type:

 

 

Printer Type:

 

 

Visa/MasterCard Merchant #:

 

 

American Express Merchant #:

 

 

Discover Merchant #:

 

 

Diners Club/Carte Blanche Merchant #:

 

 

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