Apply-Now – Lendeavor USA

1Funding Request

2Owner Info

3Owner Info Cont.

4Business Info

5Additional Info (optional)

6Bank Statements (optional)

7Signature

Funding Request

01. How much money do you need?*

02. How soon do you need the funding?*

ASAP

No Rush

03. What are you using the funds for?*

Owner Info

Your Name*

First Middle Last

Phone*

Email*

Personal Address*

Street Address Address Line 2 City State ZIP Code

Date of Birth*

SSN (Social Security Number)*

Credit Score*

Ownership (%)*

Please enter a number from 0 to 100.

Second Owner

Add Second Owner Info

2nd Owner Name*

First Middle Last

2nd Owner Phone*

2nd Owner Email*

2nd Owner Personal Address*

Street Address Address Line 2 City State ZIP Code

2nd Owner Date of Birth*

2nd Owner SSN (Social Security Number)*

2nd Owner Credit Score*

2nd Ownership (%)*

Please enter a number from 0 to 100.

Are there more Owners?

Yes

If yes, how many total owners?

Some details are prefilled based on information you've provided during sign up. Once you've signed, make sure you scroll down and click the Accept and Sign button and the click the finish button. Your application is not complete until you click Accept and Sign and then Finish!

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By signing below, the Business and Owner(s) identified above (individually, an “Applicant”) each represents, acknowledges, and agrees that (1) all information and documents provided in connection with this application are true, accurate, and complete; (2) Applicant will immediately notify Lendeavor Group LLC ("Lendeavor") of any change in the Business' financial condition; (3) Applicant understands that Lendeavor may share this information with its representatives, successors, assignees, affiliates and partners as well as third-party lenders/funders and their servicers and financial institutions ("Recipients'); (4) Applicant authorizes Lendeavor and Recipients to request and receive any investigative reports, consumer credit reports, trade references, statements from creditors or financial institutions, verifications of information, or any other information that Lendeavor and/or Recipients deem necessary, (5) Applicant waives and releases any claims against Lendeavor , Recipients and any information-providers arising from any act or omission relating to the requesting, receiving, or release of information, (6) each Owner of the Business represents that he or she is authorized to sign and submit this application on behalf of Business. Additionally, Applicant consents to communications with respect to funding matters from Lendeavor and Recipients by any medium not prohibited by law, including but not limited to mail, e-mail, cellular phone, text message, facsimile, and other forms of electronic communications. By checking this box and clicking “Continue”, I consent to receive recorded marketing phone calls and/or text messages from Lendeavor, including autodialed and pre-recorded calls delivered using automated means. I acknowledge consent is not a condition of purchase or account creation and I may opt out at any time.

Today's Date*

Signature*

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Assigned Agent

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Agent Email

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Funding Request

Owner Info

Business Information

Additional Information

Additional Info (continued)

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