Capital Lynk - Funding ApplicationPlease provide the following information in order to assist us in locating the proper funding source for your business. For assistance: Phone: 1-866-903-5012 | Ext. 304 Email: support@capitallynk.com Thank you. Business Information Legal/Corporate Name Business Name (DBA) Physical Address The physical address of your business location. x CountryPlease select... United States Canada ProvincePlease select... AB BC MB NB NL NS NT NU ON PE QC SK YT StatePlease select... AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY City Postal Code Please insert your 5 digit zip code. x Zip Please insert your 5 digit zip code. x Is Mailing Address different from 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. ProvincePlease select... AB BC MB NB NL NS NT NU ON PE QC SK YT StatePlease select... AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Postal Code Please enter the 5-digit mailing ZIP code of your business if it is physical from your physical address. x Zip Please insert your 5 digit zip code. x Business Phone Number Other Business Phone (if applicable) Business Fax Number Website Address Products Sold or Services Offered by your Business Please provide a description of the products or services your business offers. Federal Tax Id 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. Province of IncorporationPlease select... AB BC MB NB NL NS NT NU ON PE QC SK YT State of Incorporation Please select... AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WYPlease insert the state where your business was incorporated in. Date Business Established 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. x Type Of Entity Please select... Corporation LLC Sole proprietorship Partnership LLP LTD OtherPlease insert your business's type of entity. x Type of IndustryPlease select... Retail Wholesale Business Services Consumer Services Restaurant/Bar Other Date Started 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). x What do you project your gross annual sales to be this year? Please provide a rough estimate of your business's projected gross sales for 2019. How much did your business file in gross sales on its most recent corporate tax return? As filed on the income tax return for the year 2018. x Does your business accept credit cards?Please select... Yes No Average Monthly Credit Card Sales On average, how much does your business make each month on credit card sales? Do you own another business or location? Please select... No YesDo you own another business or location? Other Business/Location Information Business Name (DBA) Physical Address City ProvincePlease select... AB BC MB NB NL NS NT NU ON PE QC SK YT StatePlease select... AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip Please insert your 5 digit zip code. x Postal Code Please insert your 5 digit zip code. x Business Phone Email Type Of Entity Please select... Corporation LLC Sole proprietorship Partnership LLP LTD OtherPlease insert your business's type of entity. x Are you also looking to receive funding on this business?YesNo For INTERNAL USE Only Most recent tax return filed? Please select... Yes No Have an ExtensionHave you filed your most recent tax return (2018)? x Coming from website?Please select... Yes No Prefill Salutation Prefill First Name Prefill Last Name Owner ID Sales Partner Sales Partner Status Funding Requested ViaPlease select... Email - General Response Email - Campaign Response Email -Personalized Template Response SMS Template Website Please confirm that all the information above is accurate Click submit to proceed to the next step.