Capital Lynk Funding Application For assistance, call 1-866-903-5012 Ext. 304 or email support@capitallynk.com. Thank you. Short Business Questionnaire Amount of capital you are looking for: $ How much working capital are you seeking? When would you like to obtain funding: When would you like to receive the working capital? What do you intend to do with the working capital: How do you intend to use the working capital? Does your business currently have an open advance? Please select... Yes NoDoes your business currently have an open advance paid back with a daily or weekly payment out of your business bank account (ACH Advance) or a percentage % of your credit card sales (Merchant Cash Advance)? First Open Advance Details How are you repaying this advance?Fixed daily paymentFixed weekly paymentPercentage of Credit Card SalesOther Lender Name Approximate Funding Date Original Funding Amount $ Payback Amount $ Approximate Amount Owed $ Fixed Daily Payment Amount $ daily Fixed Weekly Payment Amount $ weekly % of Credit Card Sales (Retrieval Rate) % Percentage of credit card sales taken daily in order to pay back the advance. Please Specify Payment Details How was your experience with this lender? Are you looking to pay off this advance?Please select... Yes No Undecided Does your business currently have a second open advance? Please select... Yes NoDoes your business currently have an open advance paid back with a daily or weekly payment out of your business bank account (ACH Advance) or a percentage % of your credit card sales (Merchant Cash Advance)? Second Open Advance Details How are you repaying this advance?Fixed daily paymentFixed weekly paymentPercentage of Credit Card SalesOther Lender Name Approximate Funding Date Original Funding Amount $ Payback Amount $ Approximate Amount Owed $ Fixed Daily Payment Amount $ daily Fixed Weekly Payment Amount $ weekly % of Credit Card Sales (Retrieval Rate) % Percentage of credit card sales taken daily in order to pay back the advance. Please Specify Payment Details How was your experience with this lender? Are you looking to pay off this advance?Please select... Yes No Undecided Does your business currently have a third open advance? Please select... Yes NoDoes your business currently have an open advance paid back with a daily or weekly payment out of your business bank account (ACH Advance) or a percentage % of your credit card sales (Merchant Cash Advance)? Third Open Advance Details How are you repaying this advance?Fixed daily paymentFixed weekly paymentPercentage of Credit Card SalesOther Lender Name Approximate Funding Date Original Funding Amount $ Payback Amount $ Approximate Amount Owed $ Fixed Daily Payment Amount $ daily Fixed Weekly Payment Amount $ weekly % of Credit Card Sales (Retrieval Rate) % Percentage of credit card sales taken daily in order to pay back the advance. Please Specify Payment Details How was your experience with this lender? Are you looking to pay off this advance?Please select... Yes No Undecided Does your business currently have a fourth open advance? Please select... Yes NoDoes your business currently have an open advance paid back with a daily or weekly payment out of your business bank account (ACH Advance) or a percentage % of your credit card sales (Merchant Cash Advance)? Fourth Open Advance Details How are you repaying this advance?Fixed daily paymentFixed weekly paymentPercentage of Credit Card SalesOther Lender Name Approximate Funding Date Original Funding Amount $ Payback Amount $ Approximate Amount Owed $ Fixed Daily Payment Amount $ daily Fixed Weekly Payment Amount $ weekly % of Credit Card Sales (Retrieval Rate) % Percentage of credit card sales taken daily in order to pay back the advance. Please Specify Payment Details How was your experience with this lender? Are you looking to pay off this advance?Please select... Yes No Undecided Does your business currently have a fifth open advance? Please select... Yes NoDoes your business currently have an open advance paid back with a daily or weekly payment out of your business bank account (ACH Advance) or a percentage % of your credit card sales (Merchant Cash Advance)? Fifth Open Advance Details How are you repaying this advance?Fixed daily paymentFixed weekly paymentPercentage of Credit Card SalesOther Lender Name Approximate Funding Date Original Funding Amount $ Payback Amount $ Approximate Amount Owed $ Fixed Daily Payment Amount $ daily Fixed Weekly Payment Amount $ weekly % of Credit Card Sales (Retrieval Rate) % Percentage of credit card sales taken daily in order to pay back the advance. Please Specify Payment Details How was your experience with this lender? Are you looking to pay off this advance?Please select... Yes No Undecided Does your business have any active/previous advances in collections with any funding company?Please select... Yes No Has your business ever had 2 or more advances at the same time, now or in the past?Please select... Yes No What did you like and/or dislike about your current provider(s)? What are you looking for in Capital Lynk as your new working capital provider? Have you recently applied for working capital with any other companies and/or providers?Please select... No Yes - Waiting on Offer Yes - Received Offer Name of Lender Funding Amount $ Please provide proposed funding amount, payback amount, repayment terms, and term length. This information will be useful to us when securing funding options for your business. Payback Amount $ Please provide proposed funding amount, payback amount, repayment terms, and term length. This information will be useful to us when securing funding options for your business. Method of Repayment Please select... Fixed Daily Payment Fixed Weekly Payment Percentage of Credit Card SalesPlease provide proposed funding amount, payback amount, repayment terms, and term length. This information will be useful to us when securing funding options for your business. Fixed Daily Payment Amount $ daily Please provide proposed funding amount, payback amount, repayment terms, and term length. This information will be useful to us when securing funding options for your business. Fixed Weekly Payment Amount $ weekly Please provide proposed funding amount, payback amount, repayment terms, and term length. This information will be useful to us when securing funding options for your business. Percentage of Credit Card Sales (Retrieval Rate) % Please provide proposed funding amount, payback amount, repayment terms, and term length. This information will be useful to us when securing funding options for your business. How was this offer presented to you? Please select... Verbal Offer Email Written (Contract)Please provide proposed funding amount, payback amount, repayment terms, and term length. This information will be useful to us when securing funding options for your business. Have you recently applied for working capital with any other companies and/or providers?Please select... No Yes - Waiting on Offer Yes - Received Offer Name of Lender Funding Amount $ Please provide proposed funding amount, payback amount, repayment terms, and term length. This information will be useful to us when securing funding options for your business. Payback Amount $ Please provide proposed funding amount, payback amount, repayment terms, and term length. This information will be useful to us when securing funding options for your business. Method of Repayment Please select... Fixed Daily Payment Fixed Weekly Payment Percentage of Credit Card SalesPlease provide proposed funding amount, payback amount, repayment terms, and term length. This information will be useful to us when securing funding options for your business. Fixed Daily Payment Amount $ daily Please provide proposed funding amount, payback amount, repayment terms, and term length. This information will be useful to us when securing funding options for your business. Fixed Weekly Payment Amount $ weekly Please provide proposed funding amount, payback amount, repayment terms, and term length. This information will be useful to us when securing funding options for your business. Percentage of Credit Card Sales (Retrieval Rate) % Please provide proposed funding amount, payback amount, repayment terms, and term length. This information will be useful to us when securing funding options for your business. How was this offer presented to you? Please select... Verbal Offer Email Written (Contract)Please provide proposed funding amount, payback amount, repayment terms, and term length. This information will be useful to us when securing funding options for your business. Have you recently applied for working capital with any other companies and/or providers?Please select... No Yes - Waiting on Offer Yes - Received Offer Name of Lender Funding Amount $ Please provide proposed funding amount, payback amount, repayment terms, and term length. This information will be useful to us when securing funding options for your business. Payback Amount $ Please provide proposed funding amount, payback amount, repayment terms, and term length. This information will be useful to us when securing funding options for your business. Method of Repayment Please select... Fixed Daily Payment Fixed Weekly Payment Percentage of Credit Card SalesPlease provide proposed funding amount, payback amount, repayment terms, and term length. This information will be useful to us when securing funding options for your business. Fixed Daily Payment Amount $ daily Please provide proposed funding amount, payback amount, repayment terms, and term length. This information will be useful to us when securing funding options for your business. Fixed Weekly Payment Amount $ weekly Please provide proposed funding amount, payback amount, repayment terms, and term length. This information will be useful to us when securing funding options for your business. Percentage of Credit Card Sales (Retrieval Rate) % Please provide proposed funding amount, payback amount, repayment terms, and term length. This information will be useful to us when securing funding options for your business. How was this offer presented to you? Please select... Verbal Offer Email Written (Contract)Please provide proposed funding amount, payback amount, repayment terms, and term length. This information will be useful to us when securing funding options for your business. Is your business seasonal?Please select... Yes No Somewhat Please check the months that apply Low Season MonthsJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember High Season MonthsJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Does your business have any State or Federal Tax Liens?Please select... Yes - State Liens Yes - Federal Liens Yes - Both None Approximate Amount Owed $ Active Payment Plan In Place?Please select... Yes No Do you operate a franchise?YesNo Number of Business Bank AccountsPlease select... 1 2 3 4 5+ Is your banking Online Access set up?Please select... Yes No Does your business accept credit cards?Please select... Yes No Is your credit card processor Online Access set up?Please select... Yes No Would you like to obtain a free, no obligation credit card rate analysis? YesNoWe review your credit card rates with your existing processor and send you a comparison sheet. This helps you determine your effective rates for each interchange category and if you are being overcharged. Would you like to start accepting credit cards and start factoring a Fixed Percentage (%) of your Credit Card Revenue YesNo Please select the type of receivables you are looking to factor and obtain funding quotes for:Gross Sales Deposits - Repaid through my business bank account with a Daily/Weekly ACH DebitCredit Card Sales - Repaid based on a Fixed Percentage (%) of your Credit Card Revenue You may also select the type of secured business loans you are looking to obtain funding quotes for:Secured Business Loans - Fixed repayment term where rates are primarily based on credit, business condition and business typeAsset Based Lending (ABL) - Leverage tangible assets and a strong balance sheet, repaid through a daily or weekly ACH Debit Please share any other information about your business you think may be relevant: The following documentation will be required in addition to this application: The following documentation will be required in addition to this application:- Most Recent 4 Months of Bank Statements (All Pages, All Business Accounts) - Most Recent 4 Months of Credit Card Statements (All Pages, All Business Accounts) How will you be submitting your statements?Please select... Provide Online Access Attach to this form directly Send by Email Send by Fax Provide Online Access Providing online access accelerates the process and reduces paperwork. For security purposes, we will redirect you to a different form for you to provide your Online Access details. Click here to open up a new tab and complete the Online Access Form. Please type carefully and bear in mind to indicate upper/lower case sensitivity.The following documentation will be accessed for review: - Most Recent 4 Months of Bank Statements (All Pages, All Business Accounts) - Most Recent 4 Months of Credit Card Statements (All Pages, All Business Accounts) **Client documents and information are confidential and will not be reproduced, sold or redistributed. You may also change your Online Access password(s) and security questions once the Underwriting review has been completed. Attach statements to form directly Please attach the following documentation: - Most Recent 4 Months of Bank Statements (All Pages, All Business Accounts) - Most Recent 4 Months of Credit Card Statements (All Pages, All Business Accounts) Send by Email Please send the following statements to support@capitallynk.com. For assistance or to confirm receipt, please call 1-866-903-5012 Ext. 304. - Most Recent 4 Months of Bank Statements (All Pages, All Business Accounts) - Most Recent 4 Months of Credit Card Statements (All Pages, All Business Accounts) Send by Fax Please send the following statements to 1-877-433-7796. For assistance, or to confirm receipt, please call 1-866-903-5012 Ext. 304. - Most Recent 4 Months of Bank Statements (All Pages, All Business Accounts) - Most Recent 4 Months of Credit Card Statements (All Pages, All Business Accounts) For Internal Use Only Resubmit - What are you being offered by other lenders? YesNoThis is an account Please click Submit to proceed to the last step. Need assistance with this form?
