Application Form - FundWell

Let's Get this Application Started!

For more accurate and personalized financial assistance, please enter your business legal name.

Fields marked with an asterisk (*) are required for submission

Business Legal Name *

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Tell Us Information About You

Provide your details for personalized assistance tailored to your financial goals.

Fields marked with an asterisk (*) are required for submission

First Name *

Last Name *

Phone

Email Address *

Agreement *

I agree to the Terms of Application which includes an arbitration agreement, Terms of Use, and the FundWell Privacy Policy.

Tell Us Information About You

Share your requested funding amount for a customized financial solution.

Requested Funding Amount *

1,000,000

$

USD

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Business Information

Include your business DBA name and website for personalized financial assistance.

Business DBA Name

Business Website

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Business Information

Choose your industry type for customized financial solutions tailored to your business.

Select Industry Type:

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Business Information

Provide your business Employer Identification Number (EIN) for seamless processing and personalized financial assistance.

EIN *

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Business Information

Your business start date will help us create your personalized financial solution.

When Did You Start Your Business? *

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Business Information

Choose your legal entity for personalized financial guidance.

Select Business Legal Entity:

Corporation

Sole Proprietorship

LLC

Partnership

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Business Information

Provide your business address for seamless communication and accurate application processing.

Enter Business Address

Street *

City *

State *

ZIP *

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Owners Information

Complete the owner details to get your tailored financing options.

Owner #1 Details

Full Name *

Date of Birth *

Phone *

Owner Address Street *

Owner Address City *

Owner Address State *

Owner Address ZIP *

Social Security Number *

Ownership Percentage

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Owners Information

Please provide information about your secondary business owner.

Owner #2 Details

First Name

Last Name

Date of Birth

Email *

Phone

Owner Address Street

Owner Address City

Owner Address State

Owner Address ZIP

Social Security Number

Ownership Percentage

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Upload Last 4 Bank Statements

Securely upload your last 4 months of business bank statements to complete your financial assessment.

Thank You For Applying!

A member of the FundWell team will reach out to you within 48 hours.

Next Steps

Step 1

Once submitted, we'll review your application and let you know if you're approved as soon as the same day.

Step 2

Once approved, you’ll receive your financing terms.

Step 3

Conveniently access your funds within the same day, and start growing your business.

Need to speak with an Expert?

reach out anytime for expert financial guidance.

Contact us

+1 (800) 613-0257
Mon-Fri 8am to 6pm EST
[email protected]

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