Applying for business funding,made easy. "*" indicates required fields Step 1 of 5 - Contact Information 20% InstagramThis field is for validation purposes and should be left unchanged.CONTACT INFORMATIONThis field is hidden when viewing the formpartnerThis field is hidden when viewing the formUserIdName* First Last Date of Birth* MM slash DD slash YYYY SSN/NIN*Email* Mobile Phone*Legal Company Name*DBAHome Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code This field is hidden when viewing the formZip* BUSINESS DETAILSBusiness Start Date* MM slash DD slash YYYY State of Incorporation*Please select a state from the listAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingWashington DCTax ID / Company Number*Company WebsiteBusiness Phone*FICO Score*Please enter a number from 0 to 850.Ownership Percentage*Please enter a number from 0 to 100.This field is hidden when viewing the formSourceThis field is hidden when viewing the formUntitledBusiness Address* Business address is same as home address Street Address City State / Province / Region ZIP / Postal Code This field is hidden when viewing the formZip* PARTNER'S INFORMATIONName* First Last Date of Birth* MM slash DD slash YYYY SSN/NIN*Email* Mobile Phone*Partner Home Address*City*State*Zip*Ownership Percentage*Please enter a number that with your partner's percentage, equals 100. PLEASE UPLOAD LAST 4 MONTHS OF BUSINESS BANK STATEMENTSFiles must be no larger than 3MB per upload field. Please compress files that are larger than 3MB, and upload in a .zip format. Bank Statements Drop files here or Select files Accepted file types: jpg, png, pdf, zip, Max. file size: 3 MB. Files must not exceed this limit.Additional Documents Drop files here or Select files Accepted file types: jpg, png, pdf, zip, Max. file size: 5 MB. Files must not exceed this limit. By signing below, the undersigned business owner(s) or officer(s) ("Applicant") certifies that they are authorized to act on behalf of the above-named company. Applicant confirms that all information and supporting documentation provided with this application is true, accurate, and complete, and may be relied upon for evaluating this application. Applicant authorizes PIF Consulting LLC dba Sandbar Fund ("SBF"), its representatives, successors, designees, and third-party lenders ("Assignees") to share this application and supporting documentation as necessary, including with external vendors to facilitate the funding process. This includes NOAA-related documents and other required materials. Applicant consents to SBF and its Assignees requesting, receiving, and reviewing consumer, business, and investigative reports, including credit pulls(hard or soft), as well as financial data, including credit card processor and bank statements, from consumer reporting agencies (e.g., TransUnion, Experian, Equifax), creditors, banks, and other third parties to assess eligibility for commercial credit. Applicant also authorizes creditors and financial institutions to release relevant information to SBF and its Assignees. By signing, Applicant consents to receive communications via telephone, email, SMS, and other electronic means from SBF and its authorized representatives, even if listed on federal or state Do Not Call registries. This consent can be revoked at any time by providing written notice to SBF. Applicant waives and releases any claims against SBF, its Assignees, and information providers arising from any acts or omissions related to the request, receipt, or sharing of information in connection with this application. By signing, Applicant acknowledges and agrees to the terms stated above.Applicant's Signature*Date* Month Day Year Applicant's SignatureDate* Month Day Year CAPTCHAThis field is hidden when viewing the formLeadIdThis field is hidden when viewing the formUserIdThis field is hidden when viewing the formRPIDThis field is hidden when viewing the formURL1This field is hidden when viewing the formURL2
