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We help businesses succeed with by providing Working Capital to Fund Equipment Purchases, Inventory, Renovations, or Location Expansions.

Apply Now - pdf - Apply Now

PDF Application Download

1Basic Information

2Owner Information

3Business Information

Business Information
Legal/Corporate Name:*
DBA:
Physical Address:*
City:*
Zip:*
Business Telephone #:*
Fax #:
Email:*
Website:
Date Business Started:*
Date Legal Entity Created:*
State Legal Entity Registered:*
Federal Tax ID:*
Type of Entity (Cross one):
Sole prop Partnership Corp LLC
Other
Type of Business (Tick all that Apply):
E-commerce Retail Restaurant
Grocery Automotive Transportation
Other
Product/Service Sold:

Merchant/Owner Information
Corporate Officer/Owner Name:*
Title:*
Ownership %:*
Home Address:*
City:*
State:*
Zip:*
SSN:*
DOB:*
Home #:*
Cell #:*
Co-Owner Information
Corporate Officer/Owner Name:
Title:
Ownership %:
Home Address:
City:
State:
Zip:
SSN:
DOB:
Home #:
Cell #:

Business Property Information
Landlord or Mortgage Bank (Business location):*
Monthly Rent/Mortgage Payment:*
Lease expiration:*
Landlord/Mortgage Contact Name:*
Contact #:*
Business Trade References
Business Name:*
Contact Name and/or Account #:*
Phone #:*
Business Name:*
Contact Name and/or Account#:*
Phone #:*
Other Information
Current CC Processing Company:
Type/Number of Terminals:
Monthly Volume:
Please list any open MCA or Loans/Name of funder:
Original funded Amount:
Current Balance:
Amount Requested:*
Use of Proceeds:
Last four months of Bank Statements:

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PDF Application
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Telephone: 1 (877) 446-2194
Email: Info@CapitalClover.com

Address:
333 NE 24th STE 409
Miami, FL 33137
&
5601 Corporate Way STE 320
West Palm Beach, FL 33407

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Business Loans

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