Working Capital Application

Please complete the loan application form below to submit your loan application online. Your application is secure and we do not share any of your information.

Business Information

Legal Business Name*

Business DBA Name

Type of Business Entity (Check One)

Does the Business have any open MCA or loan accounts? (Check one)

Yes
No

Federal Tax ID (EIN)

Industry Type (Describe)

State of Incorporation

State

Business start date under current Ownership

Business Email Address

Address

Street Address Address Line 2 City State ZIP Code

Preferred Contact Phone Number

Average Monthly Credit Card Volume

Gross Annual Sales (From previous year's Tax returns)

(Last Month) Total Business Bank Deposits

(Two Months Ago) Total Business Bank Deposits

(Three Months Ago) Total Business Bank Deposits

(Four Months Ago) Total Business Bank Deposits

Borrower Information

Primary Applicant/Owner/Officer*

First Last

Social Security Number*

Date Of Birth*

Email*

Phone Number*

Street Address*

Street Address Address Line 2 City State ZIP Code

Authorization

By signing below, each of the above listed business and business owner/officer (individually and collectively, “you”) authorize Next Level Financing (“NLF”), and each of its representatives, successors, assigns, and designees (“Recipients”) that may be involved with or acquire commercial loans having daily repayment features or purchases of future receivables including Merchant Cash Advance transactions, including without limitation the application therefor (collectively, “Transactions”) to obtain consumer or personal, business and investigative reports and other information about you, including credit card processor statements and bank statements, from one or more consumer reporting agencies, such as TransUnion, Experian and Equifax, and from other credit bureaus, banks, creditors and other third parties. You also authorize NLF to transmit this application form, along with any of the foregoing information obtained in connection with this application, to any or all of the Recipients for the foregoing purposes. You also consent to the release, by any creditor or financial institution, of any information relating to any of you, to NLF and to each of the Recipients, on its own behalf.

Borrower's Name*

First Last

Borrower's Signature*

Secondary Applicant/Owner/Officer

First Last

Street Address

Street Address Address Line 2 City State ZIP Code

Phone Number

Email

Business Trade References

Reference #1

Reference Phone #

Reference #2

Reference Phone #

Reference #3

Reference Phone #

In order to process your application, we will also require the last three (3) months of business bank statements. Please upload this information below, or you may send it directly to our office by email at Info@Nextlvlcomfi.com.

Business Bank Statement Upload

Drop files here or

Max. file size: 512 MB.

Email: Info@Nexlvlcomfi.com

Phone: (855)511-1270

Next Level Commercial Financing™

Working Capital

Business Information

Borrower Information

Authorization

Business Trade References