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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 undersigned authorized principal (“Applicant”) certify that all information provided to Kalejs Capital (“Provider”) is true and complete and acknowledge that false information may result in denial of financing. Applicant agrees to promptly notify Provider of any material changes to the Company’s financial condition, ownership, operations, or legal status. Applicant authorizes Provider to share this application and related materials with its affiliates and third-party financial institutions (“Recipients”) for the purpose of evaluating commercial financing offers. Applicant authorizes Recipients to review credit reports and financial information reasonably necessary to evaluate this application. The undersigned confirms authority to act on behalf of the Company. Communications Consent: Applicant consents to receive calls, texts, and emails regarding this application, account updates, and financing offers using the contact information provided, including automated systems. Consent is not required for approval. Reply STOP to opt out of texts. Message frequency may vary. Message and data rates may apply. Applicant acknowledges Provider is a commercial loan broker, not a lender, and that financing terms are set by third-party institutions. *

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By checking this box, I consent to receive messages related to my form submission and/or services I have requested. These messages may include appointment reminders and form submission notifications among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.

I consent to receive non-marketing text messages from Kalejs Capital about my application updates, appointment reminders etc. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt-out

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