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Step One - Main Street Business Loans Application

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Company Information


Business Address *
Business Inception Date*
Do You Have A Federal Tax ID?*
Legal Structure*
Which Loan Are You Applying For?*
I Have A Tax Lien*
Do You Have Any Judgments?*
Do You Have Any Tax Liens?*
Is Your Business Seasonal?*
Declared Bankruptcy In The Last 7 Years?*
Ownership of Business Location*
Home Based Business*
Landlord Name*

Please note: Moving on to the next steps of this application does not submit your information to MSBL. Your information is submitted only when the final "Submit" button is pressed on the last page of this application.


You understand and agree that by clicking the "Next" button in order to continue to the next page, constitutes your electronic signature as if actually signed by you in writing.


Fields marked with an * are required

Step Two - Main Street Business Loans Application

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Please note, using the browser "back" button can cause your data to be lost.

Business Owner Information


Owner's Name*
Owner's Address*
Date of Birth*
Are You A US Citizen?*

Is There a Co-Applicant?*

Please note: Moving on to the next steps of this application does not submit your information to MSBL. Your information is submitted only when the final "Submit" button is pressed on the last page of this application.


You understand and agree that by clicking the "Next" button in order to continue to the next page, constitutes your electronic signature as if actually signed by you in writing.


Fields marked with an * are required

Step Three - Main Street Business Loans Application

_________________________________________________________________________________________________________________

 

Please note, using the browser "back" button can cause your data to be lost.

Co-Applicant Information


Name*
Address*
Date of Birth*
Are You A US Citizen?*

Please note: Moving on to the next steps of this application does not submit your information to MSBL. Your information is submitted only when the final "Submit" button is pressed on the last page of this application.


You understand and agree that by clicking the "Next" button in order to continue to the next page, constitutes your electronic signature as if actually signed by you in writing.


Fields marked with an * are required

Final Step - Main Street Business Loans Application

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Please note, using the browser "back" button can cause your data to be lost.

Loan Details


Have You Used A Merchant Cash Advance?*

Certification and Agreement

By signing below, each of the above listed business and business owner/officer (individually and collectively, "you") authorize Main Street Business Loans dba United Cash Solutions 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 Main Street Business Loans dba United Cash Solutions 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 Main Street Business Loans dba United Cash Solutions and to each of the Recipients, on its own behalf. You expressly consent to receiving emails and text messages, as well as any live or prerecorded telephone calls, including to your mobile phone, regarding loan options. You can opt-out from receiving further communications from Main Street Business Loans dba United Cash Solutions by emailing ptout@mainstreetbusinessloan.com


You understand and agree that by checking the box below and clicking the "Submit" button to submit this loan application electronically you agree that the electronic submission of your loan application will have the same effect as if it were submitted by you to us as a paper document signed by you.

Certification and Agreement*
Use your mouse or finger to draw your signature above
Use your mouse or finger to draw your signature above
Business Owner Name*
Business Co-Owner's Name*
Date*
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Date*
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