Business Funding Application

with Kamila Garcia

Application ID

Business Funding Application ⏱ Takes about 4 minutes

VeriFund is dedicated to empowering business owners nationwide since 2016 — providing customized financial products to companies ranging from startups to well-established operations, with no restrictions on industry type.

$2B+Distributed to date

55,000+Companies funded

A+BBB Rating

Step 1 of 3 · Let's get started

Business Information

Personal Information

Funding Information

Business Information

Quick and easy — most owners finish this page in under a minute.

Business identity

Legal business name*

Legal business name is required.

Doing business as (DBA) — optional

Business address

Business address*

Business address is required.

Address line 2 — suite/apt, optional

City*

City is required.

State*

Required.

ZIP code*

Required.

Is this business home-based?*

Yes No

Please select one.

State incorporated*

Required.

Contact & identification

Business email*

A valid business email is required.

Business phone number*

Business phone number is required.

Website / online presence — optional

Federal Tax ID / EIN*

EIN is required.

🔒 Encrypted, and only used to verify your business.

Industry category*

Please select an industry category.

Industry type*

Please select an industry type.

Personal Information

You're doing great — just a few details about you, the owner.

Applicant

First name*

First name is required.

Last name*

Last name is required.

Home address

Home address*

Home address is required.

Address line 2 — optional

City*

Required.

State*

Required.

ZIP code*

Required.

Contact & identification

Phone number*

Phone number is required.

Date of birth*

Date of birth is required.

Email*

A valid email is required.

Social Security Number*

SSN is required.

🔒 Bank-level encryption. Never sold or shared.

Ownership %*

Required (1–100).

If ownership is split, we'll ask for the other owner's details below.

Funding Information

Last step! Everything below is optional — but it helps us match you to the right offer faster.

Requested funding

Requested amount — optional

Estimated monthly revenue — optional

Current outstanding advances — optional

Bankruptcy history — optional

Business bank statements

I have already submitted my documents

Please upload your 4 most recent business bank statements.

TERMS & CONDITIONS: By submitting this application you certify that the information provided is true and accurate to the best of your knowledge. Submission of this application does not guarantee approval or funding under any SBA or alternative/merchant cash advance program. VeriFund (and its funding partners) may request additional documentation, including but not limited to bank statements, tax returns, and identification, before rendering a decision. You authorize VeriFund and its partners to obtain business and/or personal credit reports and to verify the information submitted here. Rates, terms, and available programs vary by lender and are subject to change without notice. This is not a commitment to lend or fund. You may withdraw this application at any time prior to funding by written notice. This application is governed by the laws of the state in which the funding partner is licensed to operate.

I have read and agree to the Terms and Conditions*

Business Information

Personal Information

Funding Information

You're all set 🎉