Paragon Alternative Capital
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Funding Application Form
* Real offers same business day.
Business Information
Legal Business Name:
*
DBA:
Type of Legal Entity:
*
Please Select
Sole Proprietor
LLC
S Corp
C Corp
Partnership
Not yet established...
State of Incorporation / Organization:
*
Industry:
*
Federal Tax ID:
*
Business Start Date Under Current Ownership:
*
-
Month
-
Day
Year
Business Phone:
*
Format: (000) 000-0000.
Opt-In to Receive SMS Messages
*
By checking this box, you agree to receive text messages (e.g., payment reminders) from Paragon Alternative Capital at the cell number used when signing up. Consent is not a condition of any purchase. Reply STOP to unsubscribe, HELP for help. Message & data rates may apply. Message frequency varies. I have read and agree with the Terms and Conditions & Privacy Policy.
E-mail:
*
example@example.com
Business Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you have any open cash advances, loans or lines of credit accounts?
*
Yes
No
Amount Requested:
Use of Funds:
Business Owners Information
Name
*
First Name
Last Name
Ownership Percentage:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
SSN
*
Credit Score
*
No inquiries will be reported onto score
Date of Birth:
*
-
Month
-
Day
Year
Date
Second Owners Information
(if applicable)
Name
First Name
Last Name
Ownership Percentage:
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
SSN
Credit Score
No inquiries will be reported onto score
Date of Birth:
-
Month
-
Day
Year
Date
Please attach your 4 most recent Business Bank Statements:
(Monthly statements are available as a PDF under "E-statements" in your online banking)
Statement 1 (PDF)
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Statement 2 (PDF)
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Statement 3 (PDF)
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Statement 4 (PDF)
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Signature
*
By signing below, each of the above-listed business and business owner/officer (individually and collectively, “you”) authorize Paragon Alternative Capital 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 Paragon Alternative Capital 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 Paragon Alternative Capital and to each of the Recipients, on its own behalf. You also authorize Paragon Alternative Capital and each of its Recipients to contact you via text message, automated call or email message at the contact information listed above.
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