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 *

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 *

$ USD

Business Information

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

Business DBA Name

Business Website

Business Information

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

Select Industry Type:

Business Information

Provide your EIN for seamless processing and personalized financial assistance.

EIN

Business Information

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

When Did You Start Your Business? *

Business Information

Choose your legal entity for personalized financial guidance.

Select Business Legal Entity:

Corporation

Sole Proprietorship

LLC

Partnership

Business Information

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

Enter Business Address

Street *

City *

State *

ZIP *

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

Owners Information

Easily upload your last 3 bank statements to complete your financial assessment.

Owner #2 Details

First Name

Last Name

Date of Birth

Phone

Owner Address Street

Owner Address City

Owner Address State

Owner Address ZIP

Social Security Number

Ownership Percentage

Upload Last 4 Bank Statements

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

Bank statement #1 *

Upload file

.pdf format accepted. Max size 30Mb

Bank statement #2 *

Upload file

.pdf format accepted. Max size 30Mb

Bank statement #3 *

Upload file

.pdf format accepted. Max size 30Mb

Bank statement #4 *

Upload file

.pdf format accepted. Max size 30Mb

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]

Contact Us