rainmaker - Horme Financial

Rainmaker Finance Application

CONTACT INFORMATION

Business Legal Name

Business DBA (if applicable):

Phone/Mobile

Mobile Phone:

Business Fax

Website

Physical Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

BUSINESS INFORMATION

Legal Entity (select one)

Business Start Date

Federal Tax ID

Home Based Business?

Open Bankruptcies?

Open Judgements/Liens?

State of Inc/LLC

Business Description

Industry Type (SIC Code)

Business Rent/Mortgage Information

Mthly Rent/Lease/Mtg Payment

Remaining Term for Rent/Lease

Payment Current?

Landlord/Mortgage Company Contact

FUNDING INFORMATION

Amount Requested

When Are Funds Needed:

Desired Use of Funding Proceeds

Gross Annual Sales

Gross Monthly Sales

Monthly Credit Card Volume

Current Cash Advance?

Cash Advance/Loan Balance

Current Credit Card Processing Company

Account Number

OWNER/PRINCIPAL INFORMATION

First Name

Middle Name

Last Name

Title

% Ownership

Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Home Phone

Mobile Phone

Date of Birth

SS#

CO-OWNER/PRINCIPAL INFORMATION

First Name

Middle Name

Last Name

Title

% Ownership

Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Home Phone

Mobile Phone

Date of Birth

SS#

AUTHORIZATION

Last 3 Months Business Bank Statements

Choose Files

Current Month-to-Date Bank Statement

Choose File

Client ID/Driver’s License

Choose File

Articles of Organization/Incorporation

Choose File

By signing below, each of the above listed business and business owner/officer (individually and collectively, “you”) authorize Horme Financial 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 therefore (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 Horme Financial to transmit this application form, along with any of the foregoing information obtained in connection with this application, to any or all 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 Horme Financial and to each of the Recipients, on its own behalf.

CONTACT INFORMATION

BUSINESS INFORMATION

FUNDING INFORMATION

OWNER/PRINCIPAL INFORMATION

CO-OWNER/PRINCIPAL INFORMATION

AUTHORIZATION

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