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General Business Information
Business Name
Website
Business Street Address
City
State/Province
Zip/Postal Code
Business Phone
Describe your business
Legal Status (REQUIRED)
Corporation
LLC
Parthership
Sole Proprietorship
Business Articles (Attach Files)
We will request these documents via email once we process your application.
Date Established
Number of Empoyees
Federal Tax ID (EIN)
We will request these documents via email once we process your application.
Is your business current on all taxes? (REQUIRED)
Yes
No
Does your business have any tax liens? (REQUIRED)
Yes
No
Does your business have any outsanding loans? (REQUIRED)
Yes
No
Outstanding loan amounts
Lender Name
Lender Phone
Anticipated monthly factoring volume
Current accounts receivable balance outstanding
Have you factored before? (REQUIRED)
Yes
No
If you have factored before who did you factor with?
How did you find out about Gig Factor?
Business Signer Information
Signer Title
First Name
Middle Name
Last Name
Home Street Address
City
State/Province
Zip/Postal Code
Percent Owned
Email Address
Home Phone
Mobile Phone
Drivers License (Attach File)
We will request these documents via email once we process your application.
Date of Birth
Social Security Number
Type your first and last name as a digital signature
Todays Date
Choose "I Agree" below to confirm your digital signature (REQUIRED)
I Agree
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