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For Business Self – Employed Cash Advance

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First name

Last name

Legal Business Name or Self – Employed

Work Information
How do you earn income?

Home Address Number ,Street , City ,State , Zip code

Website

Phone Number

How long have you been doing gig work?

Preferred Funding Amount

Average Monthly Gross Revenue

Do You currently have any MCAs or Loans

Any recent or pending bankruptcies

Any recent account changes or new bank accounts

How did you hear about us?

Other details

I confirm that I am self-employed or operating a business and that any funding requested is for business purposes only. I understand funding is not guaranteed and subject to review and approval.

Applicant certifies that all information provided in this application is true, correct, and complete to the best of Applicant’s knowledge and belief. Applicant understands that submission of this application does not guarantee approval or funding, and that Easy Lendz LLC is under no obligation to purchase any receivables.

Consent to Receive Text Messages & Calls By checking this box, Applicant expressly consents to receive calls and text messages, including automated or prerecorded messages, from Easy Lendz LLC at the phone number(s) provided, for purposes related to this application, underwriting, funding, servicing, or account updates. Message and data rates may apply. Consent is not required as a condition of any purchase of receivables.

Consent to Receive Email Communications Applicant expressly authorizes Easy Lendz LLC to contact Applicant by email at the email address(es) provided for purposes related to this application, including underwriting requests, funding decisions, document delivery, servicing communications, and account updates.