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Secure the Capital Your Business Needs

Fast, secure, and hassle-free. No credit check. Finish your application in under 5 minutes.

🧾Business Information

Legal Business Name *

Website

Business DBA Name: (If Applicable)

Tax ID Number *

Business Start Date *

Address

Address *

City *

State *

Postal Code *

Business Phone *

Industry Type *

Business Location *

Please Select

Store Front
Office
Home
Other
No elements found. Consider changing the search query.
List is empty.

Legal Entity Type *

Please Select

Corp
Sole Prop
LLC
Partnership
No elements found. Consider changing the search query.
List is empty.

👤Primary Owner Information

Full Name *

Email *

Social Security Number *

Cell Phone Number *

Ownership Percentage *

Primary Owner Address *

Primary Owner City *

Primary Owner State *

Primary Owner Zip *

Date of Birth *

Credit Score *

Drivers License Number *

💰Funding Request

Requested Funding Amount *

Estimated Gross Annual Income *

Your Average Bank Balance *

Any Open Judgments, Bankruptcy or Tax Liens? *

Yes

Have you applied for ERC Grant? *

Yes

Will you be submitting your bank statements via this online form? *

Yes

Will you be submitting your credit card statements via this online form? *

Yes

Upload Bank/Credit Card Statements

Do you have a current advance balance? *

Yes

Current Advance Balance

Daily Payment of Current Advance

Current Advance Held With

Funding Date of Current Advance

What do you plan on using advance funds for?

Acknowledgment & Signature

By signing this document, each of the above listed business and business owner(s)/officer(s) (individually and collectively, “you”) certify that you are authorized to sign on behalf of the named business, and all such information may be relied upon by Fidelity Funding Group LLC (“Fidelity”) and the Recipients (defined below). You hereby authorize Fidelity and each of its representatives, successors, assigns, designees, and third-party funding partners, which includes lenders and other finance providers with whom Fidelity has, or may in the future enter into, commercial brokerage-financing relationships (“Recipients”):

to obtain credit and employment information about the Signers;

to obtain consumer or personal, business, and investigative reports and other information about you, including hard and/or soft credit pulls, from one or more consumer reporting agencies, such as TransUnion, Experian, and Equifax;

to obtain the release, by any creditor or financial institution, of any information relating to you, to any Recipients;

to transmit this application form, along with any of the foregoing information obtained in connection with this application, to any or all Recipients for the foregoing purposes.

Each Signer acknowledges that additional information may be required in order to render a decision regarding Business Applicant’s account, and Signers hereby certify that they have read and understand the terms of this Fidelity Funding Application Form.

EACH SIGNER ACKNOWLEDGES THAT FIDELITY FUNDING MAY RELY ON THE STATEMENTS AND INFORMATION SET FORTH IN THIS APPLICATION AND THAT SUCH STATEMENTS AND INFORMATION MAY BE INCORPORATED BY REFERENCE IN ANY AGREEMENT ANY OF THE UNDERSIGNED MAY ENTER INTO WITH FIDELITY FUNDING. EACH OF THE UNDERSIGNED HEREBY AGREES TO NOTIFY FIDELITY FUNDING PROMPTLY OF ANY CHANGE IN ANY SUCH STATEMENT OR INFORMATION. EACH SIGNER HAS READ AND UNDERSTANDS THE TERMS OF THIS APPLICATION, INCLUDING ANY ADDENDUM, AND REPRESENTS AND WARRANTS THAT THE INFORMATION CONTAINED HEREIN IS TRUE AND CORRECT.

By signing this application, you confirm you’re authorized to act on behalf of the business and that all information provided may be relied upon by Fidelity Funding Group LLC and its funding partners. You authorize them to obtain your credit, employment, and investigative reports; request information from financial institutions; and share your application and related data with funding partners. You understand additional information may be required and agree to notify Fidelity of any changes. You acknowledge that your information may be used in future agreements. You also consent to being contacted via email, phone, or text (including automated systems), even if you’re on a Do-Not-Call list. This consent is not required to use Fidelity’s services.

Applicant Full Printed Name *

Owner Signature *

Clear

By checking this box, you agree to receive text messages (e.g., payment reminders) from FIDELITY FUNDING 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

Secure the Capital Your Business Needs

Fast, secure, and hassle-free. No credit check. Finish your application in under 5 minutes.

🧾Business Information

Legal Business Name *

Website

Business DBA Name: (If Applicable)

Tax ID Number *

Business Start Date *

Address

Address *

City *

State *

Postal Code *

Business Phone *

Industry Type *

Business Location *

Please Select

Store Front
Office
Home
Other
No elements found. Consider changing the search query.
List is empty.

Legal Entity Type *

Please Select

Corp
Sole Prop
LLC
Partnership
No elements found. Consider changing the search query.
List is empty.

👤Primary Owner Information

Full Name *

Email *

Social Security Number *

Cell Phone Number *

Ownership Percentage *

Primary Owner Address *

Primary Owner City *

Primary Owner State *

Primary Owner Zip *

Date of Birth *

Credit Score *

Drivers License Number *

💰Funding Request

Requested Funding Amount *

Estimated Gross Annual Income *

Your Average Bank Balance *

Any Open Judgments, Bankruptcy or Tax Liens? *

Yes

Have you applied for ERC Grant? *

Yes

Will you be submitting your bank statements via this online form? *

Yes

Will you be submitting your credit card statements via this online form? *

Yes

Upload Bank/Credit Card Statements

Do you have a current advance balance? *

Yes

Current Advance Balance

Daily Payment of Current Advance

Current Advance Held With

Funding Date of Current Advance

What do you plan on using advance funds for?

Acknowledgment & Signature

to obtain credit and employment information about the Signers;

to obtain the release, by any creditor or financial institution, of any information relating to you, to any Recipients;

to transmit this application form, along with any of the foregoing information obtained in connection with this application, to any or all Recipients for the foregoing purposes.

Applicant Full Printed Name *

Owner Signature *

Clear

A Funding Specialist Will Contact You

Within the next business day (often within a few hours), a member of our team will call or email you to confirm your details and learn more about your business goals.

We’ll Match You With the Best Options

Our team will compare programs from our nationwide lender network to find funding solutions tailored specifically to your needs and qualifications.

Review Offers

and Get Funded

You’ll receive your personalized offers for review — once you select the right one, we’ll move quickly to finalize paperwork and get your funds released (often within 24 hours).