Funding Application 1. Owner Information First Name Last Name Ownership % Date of Birth SSN Phone Number Home Address Do you have a second owner? No Yes Second Owner Information First Name Last Name Ownership % Date of Birth SSN Phone Number Home Address Second Owner Signature Clear Signature Date: 2. Business Information Business Name Business Start Date Business Phone Entity Type EIN Business Address 3. Financial Documentation Upload Requirements: Upload the last 4 months of business bank statements. Accepted file types: PDF, JPG, PNG. Maximum file size: 5 MB per document. Ensure the documents are clear, complete, and legible. If you have multiple documents, please combine them into one PDF before uploading. Upload only business account statements (not personal). Attach Your Files Below: 4. Authorization & Signature By signing below, I/We authorize Mainstone Capital Group and its representatives to obtain business, personal, credit, and bank statement information relevant to this application. Owner Signature Clear Signature Date:
