Capital Lynk Funding Application

In order to assist us in locating the proper funding source for your business, please provide us or validate the information below.

For INTERNAL USE Only

Coming from website?

Prefill Salutation

Prefill First Name

Prefill Last Name

Owner ID

Sales Partner

Sales Partner Status

Funding Requested Via

Business Fax Number

Legal/Corporate Name

Business Name (Doing Business As)

Country

Business Physical Address

The physical address of your business location.

City

State

Zip Code

Please insert your 5 digit zip code.

Province

Postal Code

Please insert your 5 digit zip code.

State/Territory

Post Code

Is the Mailing Address different from the Business Physical Address?

YesNo

Mailing Address

Please enter the mailing address of your business if it is physical from your physical address.

City

Please enter the mailing city of your business if it is physical from your physical address.

State

Please enter the mailing state of your business if it is physical from your physical address.

Zip

Please enter the 5-digit mailing ZIP code of your business if it is physical from your physical address.

Province

Postal Code

Please enter the 5-digit mailing ZIP code of your business if it is physical from your physical address.

State/Territory

Post Code

Business Phone

Mobile Phone

Products or Services Offered

Please provide a description of the products or services your business offers.

Company Website

For assistance you can call: 1-866-903-5012 Ext. 304 or email: support@capitallynk.com

Capital Lynk Funding Application

In order to assist us in locating the proper funding source for your business, please provide us or validate the information below.

Federal Tax Identification Number

Please enter your business' 9-digit Federal Tax ID number in the specified format.

Business Identification Number

Please enter your business' 9-digit Federal Tax ID number in the specified format.

State of Incorporation

Please insert the state where your business was incorporated in.

Province of Incorporation

State/Territory of Incorporation

Type Of Entity

Please insert your business's type of entity.

Type of Industry

Business Start Date

Search date using calendar, or manually type date in the format MM/DD/YYYY (e.g. 11/26/2005). Please note that this date is for when the business was established, not when you began ownership of the business.

Date of Current Ownership

Search using the pop-up calendar, or type in the date you started ownership of the business using the format MM/DD/YYYY (e.g. 11/26/2005).

Does you accept credit cards?

Average Monthly Credit Card Sales

On average, how much does your business make each month on credit card sales?

How much did you file in gross sales on your recent corporate tax return?

As filed on the income tax return for the year 2019.

How much do you project your gross annual sales to be this year?

Please provide a rough estimate of your business's projected gross sales for 2020.

Most recent tax return filed?

Have you filed your most recent tax return (2019)?

Do you own another business or location?

Other Business/Location Information

Business Name (DBA)

Physical Address

City

State

Zip

Please insert your 5 digit zip code.

Province

Postal Code

Please insert your 5 digit zip code.

State/Territory

Post Code

Business Phone

Type Of Entity

Please insert your business's type of entity.

Are you also looking to receive funding on this business?

YesNo

For assistance you can call: 1-866-903-5012 Ext. 304 or email: support@capitallynk.com

Contact Information