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Viewridge Funding Application

Funding Application

Business fields
Federal Tax ID:	Business Legal Name:
Business DBA Name:	Type of Business Entity:
Primary Business Structure:	State of Incorporation:
Business Date under Current Ownership:	Industry Type:
Physical Address:
Billing Address:
Business Owner Cell Phone:	Business Owner Fax:
Business Website Address:

Personal fields
Primary Owner:	Social Security Number:
Date of Birth:	Home Phone:
Home Address:
Job Title:	Landlord Name:
Landlord Contact:	Email:
Ownership Percentage:

Funding fields
Use Of Funds:	Any Judgments Lien:
Open Bankruptcies:	Seasonal Business:
Peak Months:	Existing Working Capital loan:
Amount Requested:
AUTHORIZATIONS By signing below, each of the above-listed business and business owner/officer (individually and collectively, "you") authorizes Viewridge Funding, LLC. ("VRF") 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 therefor (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 VRF 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. to the release, by any creditor or financial institution, of any information relating to any of you, to VRF and to each of the Recipients, on its own behalf.

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Timestamp

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January 8, 2026 3:10 pm EDT

Viewridge Funding Application Uploaded by Viewridge Funding - customerservice@viewridgefunding.com IP 67.80.76.237

Funding Application

Business fields

Federal Tax ID:

Business Legal Name:

Business DBA Name:

Type of Business Entity:

Primary Business Structure:

State of Incorporation:

Business Date under Current Ownership:

Industry Type:

Physical Address:

Billing Address:

Business Owner Cell Phone:

Business Owner Fax:

Business Website Address:

Personal fields

Primary Owner:

Social Security Number:

Date of Birth:

Home Phone:

Home Address:

Job Title:

Landlord Name:

Landlord Contact:

Email:

Ownership Percentage:

Funding fields

Use Of Funds:

Any Judgments Lien:

Open Bankruptcies:

Seasonal Business:

Peak Months:

Existing Working Capital loan:

Amount Requested:

AUTHORIZATIONS