Sample
Business Funding Application
Submitted October 9, 2026
- Amount requested
- $50,000
- Use of funds
- Working capital
- Timing
- Within a week
- Prior default
- No
Business
- Legal business name
- Doe’s Diner LLC
- Doing business as
- Doe’s Diner
- Business address
- 123 Main St
- City
- Tampa
- State
- FL
- Time in business
- 5–10 Years
- EIN
- 98-7654321
- Business structure
- LLC
- Business bank account
- Yes
- Annual revenue
- $890,000
- Average monthly sales
- $74,167
- Industry
- Restaurant
Owner
- First name
- John
- Last name
- Doe
- Credit score
- 680–719
- Ownership
- 100%
- Home address
- 456 Oak Ave
- City
- Tampa
- State
- FL
- Mobile
- (813) 555-0148
- john@example.com
- Social Security number
- 987-65-4321
- Date of birth
- 04/12/1981
- Own or rent home
- Own
- Authorized representative of the business
- Yes
Signature
John Doe
Typed electronic signatureSignature record on page 2
- Printed name
- John Doe
- Title
- Owner
- Date
- October 9, 2026
Authorization
By electronically signing, I agree to this authorization, certify that this application and supporting documents are accurate and complete, and confirm that I am authorized to act for the business. I authorize Business Loans LLC, operating as BusinessLoan.io (“Company”), and commercial financing brokers, lenders and funding providers receiving this application (“Funding Partners”) to receive, verify and share my application and supporting business and personal information, including bank statements, with Funding Partners solely to evaluate and arrange the requested business financing, including onward submission by brokers to lenders. I authorize banks, creditors, payment processors and credit bureaus to release relevant business financial information to the Company and Funding Partners. Individually, I provide written instructions authorizing the Company and Funding Partners to obtain my consumer credit reports for this application; inquiries may affect my credit score. I understand the Company may receive payment for providing my application. The Company and Funding Partners may contact me about this application only. Signing does not obligate me or the business to accept financing.
Doe’s Diner LLC, Business Funding ApplicationPage 1 of 2