Business InformationLegal Business Name *Tax ID (EIN) *Your 9-digit federal Employer Identification Number.Street AddressCityState/ProvinceZIP / Postal codeState of IncorporationSelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingThe state where the business was formed.Legal Entity Type *Legal Entity TypeCorporation ( Corp/Inc. )LLC (U.S. only)Sole ProprietorPartnershipPublic CompanyProfessional CoporationNon-Profit OrganisationOtherFor example LLC, corporation, partnership, or sole proprietor.Monthly Revenue *Select a range$10,000 to $20,000$20,000 to $50,000$50,000 to $100,000$100,000 to $250,000$250,000 to $500,000$500,000+Your average monthly revenue.Business Start Date *Owner InformationFirst NameLast NameHome Address *City *State/Province *ZIP / Postal code *Do you own your home?YesNoDate of Birth *MM/DD/YYYYCredit ScoreCredit Score550 or below551 or 599600 or 649650 or 699700+Your best estimate is fine.Work EmailPhone Number *Social Security Number *Used to verify your identity and review your application.Bank StatementsBank StatementsDrag and Drop (or) Choose FilesUpload your 4 most recent business bank statements.Consent and SignatureBy signing below and clicking Submit Application, you certify that (1) you are authorized to apply for business funding for the business named under Business Information, and (2) everything in this application and in any documents you send with it is true and complete, and you will tell Space Capital Group if any of it materially changes. You authorize Space Capital Group and its agents to obtain business and personal credit reports through a soft inquiry and to contact third parties to verify the information you provided and to evaluate this request and any future renewal or extension. You agree that Space Capital Group may share the information in this application with third parties, including to review your request and to offer you funding products and services. You also agree to our Terms of Use and acknowledge our Privacy Policy. Your signature below is your electronic signature.I agree to receive text messages from Space Capital Group at the phone number I provided, including texts sent using automated technology, about my application. Consent is not a condition of getting funded. Message frequency varies. Message and data rates may apply. Reply STOP to opt out or HELP for help. See our Privacy Policy and Terms of Use.I have read and agree to the certification and authorization above. *Signature *Your signature confirms the certification and authorization above.Submit Application
