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Business Information

Company DBA(Required)

Business Legal Name(Required)

Business Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Federal Tax ID(Required)

Business Start Date(Required)

Length of Ownership(Required)

Entity Type(Required)

Business Email Address(Required)

Type of Business(Required)

Product/Service Sold(Required)

Owner Information

First Name(Required)

Last Name(Required)

What percent of the business do you own?(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Birth(Required)

Social Security #(Required)

Owner Email(Required)

Owner Phone(Required)

Please upload at least 3 of your most recent bank statement(Required)

Drop files here or

Max. file size: 2 GB, Max. files: 3.

Date Now(Required)

Signature(Required)

Consent(Required)

Yes, I agree with privacy policy. By signing above, each of the above listed Business Owner(s)/Officer(s)/Principal(s) and Business (individually and collectively, “You”) certify that all information and documents submitted in connection with this Funding Application (''Application'') are accurate, true, correct and complete; and that You will immediately notify CCC (“Candy Capital Corp”) or any of its representatives, successors, assigns, designees, agents, partners or affiliates (''Recipients'') of any change in such information or financial condition. You acknowledge that any false statements may be considered fraud. You acknowledge that the Recipients are relying on the information You provide. You further authorize Candy Capital Corp and each of the Recipients that may be involved with or acquire commercial loans having daily repayment features or purchases of future receivables including Merchant Cash Advance transactions (collectively, “Transactions”) to obtain consumer or personal, business and investigative reports and other information about You, including, but not limited to 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, financial institutions, creditors and other third parties. You authorize Recipients to receive relevant information regarding the commercial lease for the abovereferenced premises from our leasing company and/or agent. You also authorize Candy Capital Corp to transmit this Application, along with any of the foregoing information obtained in connection with this Application, to any or all of the Recipients for the foregoing purposes. A photocopy of the Application will be deemed acceptable for release of credit and/or investigatory information. By submitting this form and signing up for texts, you consent to receive marketing text messages (e.g. funding offers, payment reminders) from Candy Capital Corp at the number provided. Consent is not a condition of purchase. Msg & data rates may apply. Unsubscribe at any time by replying STOP.(Required)

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