Business Information

Business Name

Business Type

EIN / Tax ID

Years in Business

Business Address

City

State

ZIP Code

Monthly Revenue

Owner Information

First Name

Last Name

Email Address

Phone Number

Credit Score Range

Requested Funding Amount

Purpose of Funding

Funding Timeframe

Additional Information

I agree to the terms and conditions and authorize iCapital Funding to verify the information provided.

By checking this box, you consent to a soft credit pull and allow us to contact you regarding your application.