Capital Lynk - Funding Application Please 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. Name of Main Contact / Owner Merchant / Owner Information SalutationPlease select... Mr. Mrs. Ms. Dr. Prof. TitlePlease select... Owner President Vice president Secretary Partner Member Managing member First Name Last Name % OwnershipPlease select... 1% 2% 3% 4% 5% 6% 7% 8% 9% 10% 11% 12% 13% 14% 15% 16% 17% 18% 19% 20% 21% 22% 23% 24% 25% 26% 27% 28% 29% 30% 31% 32% 33% 34% 35% 36% 37% 38% 39% 40% 41% 42% 43% 44% 45% 46% 47% 48% 49% 50% 51% 52% 53% 54% 55% 56% 57% 58% 59% 60% 61% 62% 63% 64% 65% 66% 67% 68% 69% 70% 71% 72% 73% 74% 75% 76% 77% 78% 79% 80% 81% 82% 83% 84% 85% 86% 87% 88% 89% 90% 91% 92% 93% 94% 95% 96% 97% 98% 99% 100% Date of Birth Insert the Date of Birth of this owner using the pop-up calendar, or type in using the format MM/DD/YYYY (e.g. 11/25/1975). x Home Address City ProvincePlease select... AB BC MB NB NL NS NT NU ON PE QC SK YT Postal Code Please enter your 6 character postal code. x Does this owner own or rent their home?Please select... Own Rent Home Phone Number Mobile Phone Number Email Address Social Security Number Please enter your 9 digit Social Security Number in the specified format. x Add Another Email Address?YesNo Additional Email Address Add Another Email Address?YesNo Additional Email Address Preferred Method of Contact Business PhoneCell PhoneE-mailFaxSMSPlease select ALL methods for which you are reachable about the status of your application. Contact this owner for the following purposes (select all that apply) Point of ContactAdd'l Paperwork/ ClarificationReview Funding OffersPlease select all applicable purposes for which you should be reached. Partner Information SalutationPlease select... Mr. Mrs. Ms. Dr. Prof. TitlePlease select... Owner President Vice president Secretary Partner Member Managing member First Name Last Name % OwnershipPlease select... 1% 2% 3% 4% 5% 6% 7% 8% 9% 10% 11% 12% 13% 14% 15% 16% 17% 18% 19% 20% 21% 22% 23% 24% 25% 26% 27% 28% 29% 30% 31% 32% 33% 34% 35% 36% 37% 38% 39% 40% 41% 42% 43% 44% 45% 46% 47% 48% 49% 50% 51% 52% 53% 54% 55% 56% 57% 58% 59% 60% 61% 62% 63% 64% 65% 66% 67% 68% 69% 70% 71% 72% 73% 74% 75% 76% 77% 78% 79% 80% 81% 82% 83% 84% 85% 86% 87% 88% 89% 90% 91% 92% 93% 94% 95% 96% 97% 98% 99% 100% Date of Birth Insert this partner's Date of Birth using the pop-up calendar, or type in using the format MM/DD/YYYY (e.g. 11/25/1975). x Home Address City ProvincePlease select... AB BC MB NB NL NS NT NU ON PE QC SK YT Postal Code Please enter your 6 character postal code. x Does this owner own or rent their home?Please select... Own Rent Home Phone Number Mobile Phone Number Email Address Social Security Number Please enter your 9 digit social security number. Add Another Email Address?YesNo Email Address Add Another Email Address?YesNo Email Address Preferred Method(s) of Contact (select all that apply) Business PhoneCell PhoneE-mailFaxSMSPlease select ALL methods for which you are reachable about the status of your application. Contact this partner for the following purposes (select all that apply) Point of ContactAdd'l Paperwork/ ClarificationReview Funding OffersPlease select all applicable purposes for which you should be reached. Add another partner? YesNoIs there another partner that has an ownership percentage of the business? Partner Information SalutationPlease select... Mr. Mrs. Ms. Dr. Prof. First Name Last Name TitlePlease select... Owner President Vice president Secretary Partner Member Managing member % OwnershipPlease select... 1% 2% 3% 4% 5% 6% 7% 8% 9% 10% 11% 12% 13% 14% 15% 16% 17% 18% 19% 20% 21% 22% 23% 24% 25% 26% 27% 28% 29% 30% 31% 32% 33% 34% 35% 36% 37% 38% 39% 40% 41% 42% 43% 44% 45% 46% 47% 48% 49% 50% 51% 52% 53% 54% 55% 56% 57% 58% 59% 60% 61% 62% 63% 64% 65% 66% 67% 68% 69% 70% 71% 72% 73% 74% 75% 76% 77% 78% 79% 80% 81% 82% 83% 84% 85% 86% 87% 88% 89% 90% 91% 92% 93% 94% 95% 96% 97% 98% 99% 100% Date of Birth Insert this partner's Date of Birth using the pop-up calendar, or type in using the format MM/DD/YYYY (e.g. 11/25/1975). x Home Address City ProvincePlease select... AB BC MB NB NL NS NT NU ON PE QC SK YT Postal Code Please enter your 6 character postal code. Does this owner own or rent their home?Please select... Own Rent Home Phone Number Mobile Phone Number Email Address Social Security Number Please enter your 9 digit social security number in the specified format. Add Another Email Address?YesNo Email Address Add Another Email Address?YesNo Email Address Preferred Method of Contact (select all that apply) Business PhoneCell PhoneE-mailFaxSMSPlease select ALL methods for which you are reachable about the status of your application. Contact this partner for the following purposes (select all that apply) Point of ContactAdd'l Paperwork/ ClarificationReview Funding OffersPlease select all applicable purposes for which you should be reached. Add another partner? YesNoIs there another partner that has an ownership percentage of the business? Partner Info SalutationPlease select... Mr. Mrs. Ms. Dr. Prof. First Name Last Name TitlePlease select... Owner President Vice president Secretary Partner Member Managing member % OwnershipPlease select... 1% 2% 3% 4% 5% 6% 7% 8% 9% 10% 11% 12% 13% 14% 15% 16% 17% 18% 19% 20% 21% 22% 23% 24% 25% 26% 27% 28% 29% 30% 31% 32% 33% 34% 35% 36% 37% 38% 39% 40% 41% 42% 43% 44% 45% 46% 47% 48% 49% 50% 51% 52% 53% 54% 55% 56% 57% 58% 59% 60% 61% 62% 63% 64% 65% 66% 67% 68% 69% 70% 71% 72% 73% 74% 75% 76% 77% 78% 79% 80% 81% 82% 83% 84% 85% 86% 87% 88% 89% 90% 91% 92% 93% 94% 95% 96% 97% 98% 99% 100% Date of Birth Insert this partner's Date of Birth using the pop-up calendar, or type in using the format MM/DD/YYYY (e.g. 11/25/1975). x Home Address City ProvincePlease select... AB BC MB NB NL NS NT NU ON PE QC SK YT Postal Code Please enter your 6 character postal code. Does this owner own or rent their home?Please select... Own Rent Home Phone Number Mobile Phone Number Email Address Social Security Number Please enter your 9 digit social security number in the specified format. Add Another Email Address?YesNo Email Address Add Another Email Address?YesNo Email Address Preferred Method of Contact (select all that apply) Business PhoneCell PhoneE-mailFaxSMSPlease select all methods for which you are reachable about the status of your application. Contact this partner for the following purposes (select all that apply) Point of ContactAdd'l Paperwork/ ClarificationReview Funding OffersPlease select all applicable purposes for which you should be reached. Internal Use CountryPlease select... United States Canada Australia United Kingdom Contact ID Gross sales 2015 from page 1 Projected Gross Sales from page 1 Most recent tax return filed from page 1 Average cc volume from page 1 Business accepts cc from page 1 Please confirm that all the information above is accurate Click submit to proceed to the next step.