application - Cheshire Capital

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BUSINESS INFORMATION

the business dba

corporation name

business type

corp llc sole proprietorship

EIN

start date

business address

phone

fax

mobile

website

product/service sold

average ticket ($)

open cash advance

yes no

with who

balance

amount requested

OWNER INFORMATION 1

OWNER NAME

d.o.b

s.s

home address

%ownership

home phone

mobile

own rent

year

driver's license

OWNER INFORMATION 2

OWNER NAME

d.o.b

home address

%ownership

home phone

mobile

...

own rent

year

driver's license

Last 4 month's bank statement

Credit Processing statements

Quickbooks profit and loss statement

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