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Whether your credit is excellent, or needs some work; we offer innovative finance solutions that cover a wide variety of situations.

Email: jbrandt@meleccapital.com

Phone: (720)-638-4135
Copyright © 2014 MeLeC Capital . All Rights Reserved.
720-638-4135
FUNDING FOR MY BUSINESS INFORMATION
Business Legal Name:
Address:
Business DBA Name:
Suite/Floor:
Bussiness Phone:
Fax:
Length of ownership(# of year):
Bussiness Start Date:
Email Address:
City:
State:
Zip:
Type of Business:
Federal tax ID (9 digits):
Legal Entity:
Website:
Lease Expiration Date(mo/yr):
-
Primary Owner/Officer(1)Name:
Cell Phone:
Home Phone:
City:
State:
Zip:
Title:
% of Ownership:
OWNER/OFFICER DETAILS
Secondary Owner/Officer(1)Name:
Cell Phone:
Home Phone:
City:
State:
Zip:
Title:
% of Ownership:
FUNDING DETAILS
Requested Amount:
Loan Purpose:
Requested Loan Term:
Gross Monthly Volume:
Monthly Credit Card Volume :
Existing Loan:
If Yes List Lender:
Add Remaining Balance:
Disclosure
By signing and faxing or emailing us your loan application,you certify that (i) you are authorized to apply on behalf of the company whose full legal name appears above,under the company information portion of the  application for a bussiness loan from us and (ii) all information you provide within the loan application  and other that you will notify us of material changes to such information. You understand and agree that we  and our agents and assignees are authorised to contact third parties to make inquiries in evaluating your loan application (including requesting personal credit bureau reporta from credit reporting agencies and other  sources)or for any updates,renewal,extension of credit or other lawful purpose.Upon your request,we will advise  you if we obtained a credit report and will give you the credit bureau name and address.You understand and agree that we may provide credit and other information from the loan application and on the signing individual(s) and the company with third parties who may use the information for any lawful purpose,including for the purpose  of offering credit and/or other products and services to the signing individual(s) and/or the company.
Primary Owner/Offer(1)Signature:
Today's Date:
Secondary Owner/Offer(2)Signature:
Today's Date:
SIGNATURES
MeLeC Capital was founded with small businesses in mind because we believe that small business is vital to continued local economic growth.
Sales Prop
LLC
Corp
Partnership
Other
6 Mos
12 Mos
Y
N