Super Simple Application One simple application for working capital, Lines of credit, Term loans and more! Lets Get Started "*" indicates required fields Step 1 of 5 20% BUSINESS INFORMATIONLegal/Corporate Name*DBATax ID/EIN*Entity TypeSole ProprietorshipCorporationLLCOtherStreet AddressCityStateZip CodeBusiness PhoneBusiness Email Date Of Incorporation* MM slash DD slash YYYY Accept Credit Cards?YesNoDo you currently have a cash advance?NoYesIf Yes, With Which Lender?Balance Of Cash Advance BUSINESS OWNER INFORMATIONName* First Last Social Security Number*Date Of Birth* MM slash DD slash YYYY Street Address*City*State*Zip Code*Cell PhoneOwner %Credit Score500-550550-600600-650650-700700-750750-800800-850Is there a business partner?NoYesBUSINESS PARTNER INFORMATIONName First Last Social Security NumberDate Of Birth MM slash DD slash YYYY Owner %Street AddressCityStateZip CodeCell PhoneEmail Credit Score500-550550-600600-650650-700700-750750-800800-850 TermsConsent* I agree to the terms and conditions. Please view our Terms and Conditions before signing the application. Signature*Please print your name*Date*SignaturePlease print your nameDate Documents can be uploaded here or emailed to info@blacktiefunding.com. Documents are optional.Upload Drivers LicenseMax. file size: 128 MB.Upload Void CheckMax. file size: 128 MB.Upload 3 Bank Statements (CA and NY require 4) Drop files here or Select files Max. file size: 128 MB, Max. files: 4. CAPTCHA Δ Do You Have Questions? Do you have a question? Our team of Funding advisors can provide you with the answers you need. Get in touch today and let us help you find the funding solutions you’re looking for. Call us at (754) 778-9024 Get YourQuote Today