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  • Factoring Application

Factoring ApplicationAdminCM2023-01-25T11:59:20-11:00

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Client Information

Client Information

Address
Does Company:
Company Structure
MM slash DD slash YYYY
MM slash DD slash YYYY
Does company or its owners have current or recent:
Are receivables pledged as collateral?
Are payroll taxes current?
Are federal taxes current?
Do you have any outstanding loans?
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Receivables Information

Receivables Information

How do customers place orders?
Normal Terms of Sale:
Have you ever factored before?
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Principal of Company

Principle of Company

Name
MM slash DD slash YYYY
Address
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Bank References

Bank References

Institution
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Institution

Name
Accountant
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Accountant

Name
Attorney
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Attorney

Name
Insurance Agent
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Insurance Agent

Name
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Principle Customer Information

Principle Customer Information

List the largest customers you wish to factor.
Name
Monthly Sales
Average Invoice
 
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Documents & Consent

Documents & Consent

Copy of Operating Authority, Copy of Certificate of Insurance, W9, Copy of Driver’s License for each Principal/Owner, For Corporation or LLC – Copy of Articles of Incorporation or Organization (or Charter / Registration #), For Sole Proprietor or Partnership – Copy of DBA or Partnership Agreement
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Max. file size: 2 GB.
    Do we have consent?*
    I/We understand that the Application information will be reviewed to determine if a relationship between Applicant/s and Flash Funding, LLC would be mutually beneficial. The foregoing information is true and correct to the best of my/our knowledge. By clicking the consent box, I/we represent that I/we are fully authorized and permitted to enter into this consent, and I/we authorize Flash Funding, LLC to investigate this information, including any and all credit report information.
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    info@flash-funding.com

    713-694-5920

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