LNS - User Form

Owner Information

Let’s start with some basic information about you. This should only take a few minutes.

1 Basic Information

What’s your full name?

Email address

We’ll send updates here

Phone number

Home address

Date of birth

2 Financial & Ownership

Number of Owners

What percentage of the business do you own?

Annual Income

Renter or Owned

3 Identification

Social Security Number

Encrypted & secure

1 Business Entity Info

Business Legal Name

Doing Business As

Federal Tax ID

Business Start Date

Legal Entity?

Sole Prop

LLC

S-Corp

C-Corp

Other

2 Business Presence

Business Phone

Business Fax (Optional)

Business Website (Optional)

Credit Score

Business Social Media Site (Optional)

Physical Address

Mailing Address

1 Business Details

Nature of Business

2 Legal & Compliance

Open Bankruptcy?

Any Open Judgments?

Any Tax Liens?

Do you currently have any loans? If yes, what kinds and what is the balance?

Credit Card Monthly Volume

Total Monthly Sales ($ Forms of Produce)

Gross Annual Sales (Tax Return)

Is your business seasonal?

Yes

3 Funding Request

How much Capital is being requested?

$25k - $50k

$50k - $100k

$100k - $250k

$250k+

Repayment Terms

Daily

Weekly

Monthly

What is the Capital being requested for?

Type of Funding

MCA

Term Loan

Line of Credit

Other

4 Referred

Broker? (Who referred you to us?)

Print Name

Date

Please upload:

Last 4 months bank statements (unredacted)
Front & back ID copy
Voided check
Business license
Any other processing statements (past 3 months)

Drag & drop files here

or click “Add Attachments” button below

Note: All fields are required on this application before submission.

Need Help Submitting Your Application?
Email us at: techsupport@lnsgroup.com

Need Help Submitting Your Application?
Email us at: techsupport@lnsgroup.com
Include full name in the subject line
Example: John Smith - Application Submission Issues.