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Star Merchant Funding

  


step
Legal/Corporate Name:   Zip:   Email Address:
DBA: Business Phone: Website:
  -  ext.
Physical Address:   Fax: Date Business Started:
  -
City: Federal Tax ID: Length of Ownership:
State: Contact Person: Years at Location:
    # of Locations:
   
 
 
step
Owner Name #1:   City:   SSN:
   
Home Phone:   State:   Driver License:
  -    
Cell Phone:   Zip:   State:
  -  ext.    
Home Address:
 
Date of Birth:
 
% Own:   Title:
 
 
Owner Name #2:   City:   SSN:
   
Home Phone:   State:   Driver License:
  -  ext.    
Cell Phone:   Zip:   State:
  -    
Home Address:
 
Date of Birth:
 
% Own:   Title:
 
 

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step
Name of Bank:   Address:   Contact:
   
Phone:        
  -  ext.        
 

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Landlord Name:   Contact:   Cell #:
      -
Work #:   Fax #:    
  -     -    
 

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Business Name:   Business Name:   Business Name:
Contact: Contact: Contact:
Phone #: Phone #: Phone #:
  -     -     -
 

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step
Ownership:
Sole Proprietorship
Corporation
Partnership
LLC
LLP
PC/PA
Not for Profit
 
Merchant Type:
Retail
Restaurant
Lodging
Service
Internet
Home Based
Automotive
Other
 
Cards Accepted:
Visa
MasterCard
AMEX
Discover
Debit
LBT
 
Credit Card Processing:
% Card Swipe
% Manual Key
% Telephone
% Mail Order
% Internet
 
*Total must equal 100%
 
Monthly Amounts:
Total Sales
Credit Card Process
Rent expense
Good purchased
Non-owner payroll 
Owner draw/salary
 
 

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