LC Financial Interest Form

Funding Disclaimer

1. Accuracy of Information: All information and documents submitted as part of your funding application must be truthful and accurate to the best of your knowledge. Submitting false or misleading information is strictly prohibited and may result in the immediate termination of your application, legal action, and disqualification from future funding opportunities.

2. Verification of Documents: We reserve the right to verify the authenticity of all documents submitted. Any discrepancies or falsifications identified during the verification process will lead to the rejection of your application and may be reported to the appropriate authorities.

3. Non-Refundable Fees: Please note that any fees associated with the processing of your funding application are non-refundable. This includes, but is not limited to, application fees, processing fees, and administrative fees. These fees are required to cover the costs associated with reviewing and processing your application and are not subject to reimbursement under any circumstances.

4. Legal Consequences: Providing false documents or information as part of your application can result in serious legal consequences, including but not limited to civil and criminal penalties. We are committed to maintaining the integrity of our funding process and will take all necessary steps to ensure compliance with applicable laws and regulations.

By proceeding with your application, you confirm that you understand and accept these terms and conditions. If you have any questions or require further clarification, please contact our support team before submitting your application.

Signature *

Clear

Personal Information
Please fill out the following questionnaire to help us process your SBA business funding application.

Full Name *

Date of birth *

Social Security Number *

Phone *

Email *

Business Information

Business Name *

Business Address *

Business Phone *

Business Email *

Business Website

How many years have you owned this business: *

How much funding do you need? *

What is your estimated average annual revenue? *

Do you have an SBA.gov portal already? *

If yes, please encode your SBA Username & Password

Required Documents
Please upload the following documents. If you need assistance, contact us at 833-504-6870.

Government-Issued ID (Driver’s License or Passport) *

LLC Paperwork (Articles of Organization, Operating Agreement, etc.) *

EIN Documents/Articles of Operation *

Upload your EIN Document/Articles of Operation

Business Bank Account Details: *

Most Recent Business Tax Returns (Last 3 Years)

Personal Tax Returns (Last 3 Years)

Personal Financial Statement *

Business Plan *

Profit & Loss Statements and Balance Sheets *

Debt Schedule *

This is a table that lists a company's debt and interest payments, including principal, interest rates, and total debt service.

Agreement and Payment Information

By signing this agreement, you acknowledge and agree to the following terms:

- A 5% succession fee will be applied to the funded amount upon successful funding.

- An upfront fee of $250 is required to begin the application process.

Payment can be made via

CashApp or Zelle to 618-560-6773.

Payment Method *

Zelle

CashApp

Agreement

I agree to the above terms and conditions, including the payment of the 5% succession fee and the $250 upfront fee. *

I agree

Consent Signature *

Clear

Date Signed

Thank you for completing the questionnaire. Our team will review your information and get back to you promptly. If you have any questions, please contact us at [email protected] or 833-5054-6870.