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Online Application

Funding Application

Business Information
Are you working with a representative?	Amount Requested:
Use of Funds:	Do you have a current Advance/Loan?
Business Legal Name:	Business DBA Name:
Annual Business Revenue:	Entity Type:
State of Incorporation:	Fed Tax ID:
Physical Address:

Physical Location Phone #:	Preferred Contact Phone:
Industry Type (SIC Code or Description):	Are you renting or mortgaged:
Amount $:	Business Start Date:

Owner's Information
Legal Name:	Ownership %
Date of Birth:	SSN:
Cellphone Number:
Home Address:

Second Owner's Information
Legal Name:	Ownership %
Date of Birth:	SSN:
Cellphone Number:
Home Address:

Website:

Email:

Fax:

Authorizations: The Merchant and Owner(s)/Officer(s) identified above (individually, an “Applicant”) each represents, acknowledges, and agrees that (1) all information and documents provided to King Capital (“KC”) are true, accurate, and complete, (2) Applicant will immediately notify KC of any change in such financial condition, (3) KC and it’s affiliates are authorized to request and receive any investigative reports, credit reports, statements from creditors or financial institutions, verification of information, or any other information that KC and it’s affiliates deem necessary, (4) Applicant waives and releases any claims against KC and any information-providers arising from any act or omission relating to the requesting, receiving, or release of information, and (5) each Owner/Officer represents that he or she is authorized to sign this form on behalf of Merchant.

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Timestamp

Audit

February 9, 2024 5:13 pm EDT

Online Application Uploaded by King Capital Admin - info@kingcapitalnyc.com IP 70.23.228.12

February 12, 2024 12:37 pm EDT

Babylon Solutions - website@babylonsolutions.com added by King Capital Admin - info@kingcapitalnyc.com as a CC'd Recipient Ip: 71.183.90.92

February 12, 2024 1:02 pm EDT

Babylon Solutions - website@babylonsolutions.com added by King Capital Admin - info@kingcapitalnyc.com as a CC'd Recipient Ip: 71.183.90.92

February 22, 2024 9:08 pm EDT

Babylon Solutions - website@babylonsolutions.com added by King Capital Admin - info@kingcapitalnyc.com as a CC'd Recipient Ip: 71.183.90.92

February 27, 2024 9:29 am EDT

Babylon Solutions - website@babylonsolutions.com added by King Capital Admin - info@kingcapitalnyc.com as a CC'd Recipient Ip: 70.23.228.12

Funding Application

Business Information

Are you working with a representative?

Amount Requested:

Use of Funds:

Do you have a current Advance/Loan?

Business Legal Name:

Business DBA Name:

Annual Business Revenue:

Entity Type:

State of Incorporation:

Fed Tax ID:

Physical Address:

Physical Location Phone #:

Preferred Contact Phone:

Industry Type (SIC Code or Description):

Are you renting or mortgaged:

Amount $:

Business Start Date:

Owner's Information

Legal Name:

Ownership %

Date of Birth:

SSN:

Cellphone Number:

Home Address:

Second Owner's Information

Legal Name:

Ownership %

Date of Birth:

SSN:

Cellphone Number:

Home Address:

Website:

Email:

Fax: