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Legal Business Name *

Email *

Phone Number *

Business Address

Industry Type? Please describe *

Federal Tax ID *

Business Start Date Under Current Ownership? *

State of Incorporation or Organization? *

Any open loan advances? *

Yes

No

If 'Yes' how many? Include Lender Name and Balance

Legal First Name *

Legal Last Name *

Title *

Ownership %

Home Address

Social Security Number (SSN) *

Credit Score

Bank Statement 1 *

Bank Statement 2

Bank Statement 3

Bank Statement 4

Bank Statement 5

Month to Date (Transactions for this month)

The Company and the undersigned principal owner of the Company identified above (“Applicant”) represents, acknowledges, and agrees that all information and documents provided to Kalejs Capital (“Provider”) are true, accurate, and complete, and Applicant understands that false statements may result in denial of financing. Applicant will immediately notify Provider of any material change in the Company’s financial condition, ownership, operations, or legal status. Provider is authorized to submit this Application and any supporting documents to its affiliates, representatives, successors, assigns, designees, agents, partners, and third-party financial institutions for the purpose of obtaining commercial financing offers (collectively, “Recipients”). Recipients are authorized to request and receive any investigative or consumer credit reports, business credit reports, bank statements, landlord verifications, creditor references, tax information, financial records, or any other data Recipients deem necessary to evaluate this Application. The undersigned represents that they are authorized to execute this Application on behalf of the Company, and that all consents herein are provided with full corporate authority. THE COMPANY AND PRINCIPAL EXPRESSLY CONSENT TO RECEIVE CALLS, TEXT MESSAGES, EMAILS, AND OTHER FORMS OF COMMUNICATION from Provider and Recipients using any contact information provided, including autodialed, automated, prerecorded, or artificial voice messages, for purposes related to this Application, financing updates, or future offers. Consent is not a condition of approval or financing. Applicant authorizes Provider and Recipients to retain, store, and use Applicant’s information for underwriting, monitoring, fraud prevention, and ongoing account review purposes. Applicant understands that Provider is a commercial loan broker, not a lender, and that all financing terms, rates, approvals, and funding amounts are determined by third-party financial institutions. *

I agree

Signature *

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