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Business Information

Business Legal Name

Doing Business As

Business Phone

Business Email

Entity Type

Industry Type

Business Start Date

Number of Owners

Business Property Ownership Status

Rent/Mortgage Amount

Business Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Total Annual Sales

Requested Amount

Use of Funds Details

List of Lender(s) and Outstanding Balance(s)

Owner Information

Name

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Owner Percentage

Years as Owner

Date of Birth

Mobile Phone

Business Bank Statements (Last 6 Months)

Drag & Drop Files, Choose Files to Upload You can upload up to 20 files.

Please upload last 6 months of business bank statements.

Attention

If you are submitting Business Bank Statements, please wait until all the files have been uploaded before clicking the “Submit” button

I agree to the terms and conditions :

By submitting this application, you authorize Canadian Funding Direct to review your personal and business information for the purpose of evaluating your funding request. You also certify that all information provided is accurate and complete to the best of your knowledge.

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Business Information

Owner Information

Attention

If you are submitting Business Bank Statements, please wait until all the files have been uploaded before clicking the “Submit” button