Progressive Capital Lending Group

If you are applying for individual credit in your name and are relying on your own income or assets and not the income of assets of another person as the basis for repayment complete Owner Information (1) and omit Owner Information (2).
If this is an application for joint credit with another person, complete Owner Information (1) and (2).

Date:

Inteded Use of Funds:

COMPANY INFORMATION

Legal Company Name

State of Incorporation:

Federal Tax ID:

Physical Address (no PO Boxes):

City:

State:

ZIP:

Do you have an outstanding merchant cash advance?

Yes - it's $
No

Merchant Cash Advance Amount

Legal Entity:

If Yes, with whom?

Company Type / Industry:

Rent or Own:

Landlord Name:

Landlord Phone:

Does your business have a separate bank account?

Yes
No

Has your business accepted credit cards for at least 3 months?

Yes
No

ESTIMATED FLOW OVERVIEW

Annual Business Revenue*

Previous Average Bank Balance

Monthly Credit Card Volume

Average NSF Past 4 Monthst

Loan Amount Requested

OWNER INFORMATION (1)

First Name:*

Last Name:*

Email:*

Phone:*

SS Number:*

Date of Birth:*

Annual Income:*

Home Address (no PO Boxes):*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Business Ownership %*

OWNER INFORMATION (2)

First Name:

Last Name:

Email:

Phone:

SS Number:

Date of Birth:

Annual Income:

Home Address (no PO Boxes):

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Business Ownership %

I (WE) HEREBY AUTHORIZE PROGRESSIVE CAPITAL LENDING, LLC AND/OR ANY OF ITS DESIGNEES OR ASSIGNEES TO MAKE WHATEVER CREDIT INQUIRIES IT DEEMS NECESSARY IN CONNECTION WITH MY CREDIT APPLICATION OR IN THE COURSE OF REVIEW OR COLLECTION OF ANY CREDIT EXTENDED IN RELIANCE UPON THIS APPLICATION AND I AUTHORIZE AND INSTRUCT ANY PERSON OR CONSUMER REPORTING AGENCY TO COMPILE AND FURNISH ANY INFORMATION IT MAY HAVE OR OBTAIN IN RESPONSE TO SUCH INQUIRIES.
I (WE) ALSO CERTIFY THAT PROGRESSIVE CAPITAL LENDING MAY RELY UPON THIS AND ALL INFORMATION HEREIN AND OTHERWISE PROVIDED FOR LOAN EVALUATION.

Owner #1

I agree to the privacy policy.

Owner #2

I agree to the privacy policy.

LOAN APPLICATION