Apply Now Quick and Easy Application Process Please use this form to fill out all required prompts. We will receive your application and get back to you shortly. Date of ApplicationLegal Name & DBAHas Any Owner Been Convicted Of A Felony:Legal Entity TypeAny Existing Cash AdvancesState Of InceptionBalance Of Current AdvancesBusiness Inception Date (Under Current Owner)Funding Company?Federal Tax IDBusiness Bank NamePhysical AddressCityStateZip CodeBusiness Home Based?Rent Or OwnLandlord PhoneLandlord NameBusiness PhoneBusiness Cell PhoneBusiness EmailIndustry TypeGross Annual Sales From Last Year's Tax Returns ($)Average Monthly Bank Deposit (#)Average Daily Business Bank Balance ($)Average Monthly Sales ($)Current Credit Card ProcessorAverage Monthly Credit Card Sales ($)Credit Card Sales Last Month ($)Credit Card Batches Last Month (#)Credit Card Sales Two Months Ago ($)Credit Card Batches Two Months Ago (#)Credit Card Sales Three Months Ago ($)Credit Card Batches Three Months Ago (#)Credit Card Sales Four Months Ago ($)Credit Card Batches Four Months Ago (#)Date Application SignedFirst NameLast NameOfficer TitleDrivers License #Date of BirthBusiness Ownership %Social Security Number (#)Home AddressCityStateZip CodePrint Name (1)Date Application SignedFirst NameLast NameOfficer TitleSocial Security Number (#)Drivers License #Print Name (2)By signing above, each of the above listed business and business owner/officer (individually and collectively, “you”) authorize (Lux Funding Corp) and each of its representatives, successors, assigns and designees (“Recipients”) that may be involved with or acquire commercial loans having daily repayment features or purchases of future receivables including Merchant Cash Advance transactions, including without limitation the application therefor (collectively, “Transactions”) to obtain consumer and/or personal, business and investigative reports and other information about you, including credit card processor statements and bank statements, from one or more consumer reporting agencies, such as TransUnion, Experian and Equifax, and from other credit bureaus, banks, creditors and other third parties. You also authorize (Lux Funding Corp) to transmit this application form, with any of the foregoing information obtained in connection with this application, to any or all of the Recipients for the foregoing purposes. You also consent to the release, by any creditor or financial institution, of any information relating to any of you, to (Lux Funding Corp) and to each of the Recipients, on its own behalf. I am providing my cellphone number and hereby consent to the receipt of text messages knowing that msg. and data rates may apply. I understand that consent to receive texts is not a condition of approval. I can expect approx. 10 msgs/month. I/We certify that all the information contained herein is complete, true and accurate.Submit