SF Prefill Info

Funding Interview ID :

Funding ID :

Funding Request ID :

Funding Interview Status :

Account Name :

Legal Business Name :

Account ID:

Repayment Method :

Weekly Payment :

Weekly Payment Choose:

Last Name :

First Name :

Second Owner Name :

Purchase Price :

Amount Sold :

Specified Percentage :

Origination & EFT Fee :

Net Deposit Amount :

Remaining RTR Balance :

Underwriter Email :

Funding name :

Prefill Bank :

Prefill Account Number:

Prefill Transit Number:

Prefill Branch:

Underwriter Phone #:

Funding Type:

Online Checkout

As per the Purchase and Sales of Future Receivables agreement, the SELLER Test Business and the Purchaser Forward Funding INC dba Forward Funding agree to the following:

Amount Sold :

Purchase Price :

Specified Percentage :

Minimum Payment :

Origination & EFT Fee :

Remaining Balance :

Date of Previous Agreement :

Net Deposit Amount :

Please note that the Net Deposit Amount will be deposited into your account.

I understand and agree.

YesNo

Payment Frequency - Daily : The first debit will be initiated 2 Business days from today.

Payment Frequency - Weekly: The first debit will be initiated next .

Payment Frequency - Weekly: Please select the preferred day of debit.

I understand and agree.

YesNo

Payments are debited Daily Monday through Friday, there are no debits on weekends and banking holidays.

Payments are debited Weekly on , if your payments falls on a banking holiday, we will debit your account the following day.

I understand and agree.

YesNo

Debits and credits will be initiated from the following account you provided:

Bank Name :

Account Number :

Transit Number :

Institution Number :

I understand and agree.

YesNo

I, Gina Garcia, acknowledge on behalf of Test Business the terms and conditions above and certify that:

I am an authorized representative of my business, authorized to bind it to obligations with Forward Funding and sign necessary documents.
I am an authorized signatory on the business bank account for disbursal and repayment of funds.
I do not anticipate closing or selling my business for any reason in the next 6 months, including vacations, renovations, medical procedures, slow periods, eviction, failure to pay taxes, failure to maintain necessary licensing, failure to comply with legal requirements or any other reasons.
Neither my business nor I plan to file for bankruptcy, nor do I expect creditors to file involuntary bankruptcy within the next 12 months.
Neither my business nor I are in arrears on any loans or financial obligations, including but not limited to mortgage or rent payments, equipment leases, except as previously disclosed to Forward Funding.
No taxing authorities have filed liens, and I have no unpaid tax obligations, except as previously disclosed to Forward Funding.
Neither my business nor I are involved in pending litigation that would materially impact the business.
I acknowledge that these statements were submitted to obtain financing, that Forward Funding relies on them for approval, and that any false statements constitute fraud, subjecting me and my business to legal action.
I acknowledge that financing approval is contingent upon Forward Funding’s review of my responses and that funds will not be disbursed unless these representations can be truthfully provided.

SELLER & Guarantor

By Gina Garcia, Owner

I understand and agree.

YesNo

SELLER & Guarantor

By , Owner

I understand and agree.

YesNo

PURCHASER

By Shiyu Wang / Forward Funding

Merchant Notes

I understand and agree.

Yes

Your Request cannot be Completed

Please contact us for assistance via email: support@forwardfunding.ca

Your Request has been completed!