Full Application V2 - Genius Funding Solution

1 Business Information

2 Owner Information

3 Existing Funding

4 Review & Submit

STEP 1 — BUSINESS INFORMATION

Tell us a little about your business so we can better understand your operations and match you with the most suitable funding options from our network of lenders.

Business Details

Legal Business Name:

DBA (if applicable):

Website:

Products/Services:

Company Type:

Business Location

Business Address:

City / Province / Postal Code:

Province of Incorporation:

Business Financials

Average Monthly Sales:

Time in Business:

Years:

Months:

Business Property:

Contact

Business Phone:

Business Email:

Business Identification Number:

Funding Request

Amount of Funds Requested:

STEP 2 — OWNER INFORMATION

Please provide basic information about the business owner(s). If your business has multiple owners, additional owner sections will automatically appear so each owner can be included.

Owner 1

Full Name:

Date of Birth (mm/dd/yyyy):

Title in Business:

Ownership Percentage:

Personal Address:

City / Province / Postal Code:

Social Insurance Number (SIN):

E-mail Address:

Phone Number:

Estimated Personal Credit Score:

Owner 2 (required if Owner 1 percentage of ownership is not 100%)

Full Name:

Date of Birth (mm/dd/yyyy):

Title in Business:

Ownership Percentage:

Personal Address:

City / Province / Postal Code:

Social Insurance Number (SIN):

E-mail Address:

Phone Number:

Estimated Personal Credit Score:

STEP 3 — EXISTING FUNDING

Let us know if your business currently has any loans or merchant cash advances, or if you’ve applied for funding recently. This helps us identify the best funding options and avoid unnecessary duplicate applications.

A) Recent Funding Applications

Have you applied for funding in the last 90 days?

Yes No

If yes - list the lenders applied with:

B) Current Loans / Non-bank Financing

Do you currently have any business loans or MCAs?

Yes No

If yes - list them:

Emergency Contact - All fields are mandatory

Contact Name:

Relation:

Phone Number:

Complete Your Business Funding Application

You’re already pre-qualified.

Finish the application in 5 quick steps to receive funding options from our lending network.

Takes about 2–3 minutes to complete.

STEP 1 — BUSINESS INFORMATION

Business Details

Business Location

Business Financials

Contact

Funding Request

STEP 2 — OWNER INFORMATION

Owner 1

Owner 2 (required if Owner 1 percentage of ownership is not 100%)

STEP 3 — EXISTING FUNDING

A) Recent Funding Applications

B) Current Loans / Non-bank Financing

Emergency Contact - All fields are mandatory

Processing…

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