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Funding application

Tell us about your business and its owners — it takes about five minutes, and there's no obligation.

Fields marked * are required.

Business Information

The basics about the business applying for funding.

Enter the legal business name.

Select an entity type.

Enter your 9-digit EIN (XX-XXXXXXX).

Describe your type of business.

Enter the month and year the business started (not in the future).

Enter the business street address.

Required.

Required.

Enter a valid ZIP code.

Enter a valid 10-digit phone number.

Enter a valid email address.

How much you're looking for. Most requests fall between $5,000 and $250,000.

Enter the amount you're requesting.

Existing Funding

This helps us understand the business's current obligations.

Does the business currently have an outstanding merchant cash advance, ACH-based funding, commercial financing, or commercial mortgage?

Choose Yes or No.

Owner Information

Owner 1 — Primary. Personal details are used for identity verification and credit review.

Owner 1 · Primary

Enter the owner's full legal name.

Enter a percentage from 1 to 100.

Enter a valid 10-digit phone number.

Enter a valid email address.

Enter a valid date of birth.

Used for identity verification and credit review.

Enter a 9-digit SSN (XXX-XX-XXXX).

Self-reported estimate — no credit is pulled when you submit this form.

Select an estimated credit score range.

Enter the owner's home street address.

Required.

Required.

Enter a valid ZIP code.

Additional Owners (optional)

Add any other owners of the business — up to 4 owners total. The form submits with Owner 1 alone.

Maximum of 4 owners reached.

Bank Statements

Upload the last three months of business bank statements — all pages, downloaded as PDFs from online banking.

Optional — you can also email them to info@leverupliquidity.com after you apply.

Drag and drop your statements here

PDF, JPG, PNG, HEIC or WEBP · up to 10 MB per file · 25 MB total · 12 files max

    Authorization & Consent

    Please review and agree to both authorizations.

    You must authorize the credit review to submit.

    You must acknowledge the personal guaranty to submit.

    By submitting this application, you certify that the information provided is true and complete.

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