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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:

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Timestamp

Audit

January 8, 2026 3:10 pm EST

Viewridge Funding Application Uploaded by Justin Salzman - jsalzman@viewridgefunding.com IP 83.20.235.124

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: