1 Personal info
2 Business INFO
3 BUS. profile
Personal Information
Nameyour full name
PhoneApplicant Phone #
DateApplication Date
Business ID Information
Business Name (DBA)
Business Legal Name
Description of BusinessBrief Business Outline
0 /
AddressBusiness Address
PhoneBusiness Phone #
Business Start DateUnder current Ownership
State of IncorporationC or S
Primary Business Structure
Corporate Business Structure
Business Profile
Approx. Annual Sales
Number of Full Time Employees
Gross Annual Sales (prev tax return)
EIN/Tax ID Number
Rent or Own Office Space
Monthly Rent or Mortgage Amount
Owner/Office #1
NameFull name
Residence Address
Annual Income
Cell Phone
Social Security Number
Ownership %Number Only

If you do not own 50% or more of the business and  wish to apply for joint credit with any other owner(s), you will be prompted for their information . 

Please note that 50% or more of combined ownership percentage is required in order to be eligible for submission.

Owner/Office #2
NameFull name
Residence Address
Annual Income
Cell Phone
Social Security Number
Ownership %Number Only
Intended use of proceedsPlease explain how you plan to allocate the funds and how the investments will impact your business:
0 /
Other Credit Relationships
Does the merchant have any open MCA accounts?
Funding Company Name:
Estimated Term:
Remittance Remaining
Do you have an outstanding business loan?
Lender Name:
Repayment Term
Total Outstanding Balance
Maturity Date

By authorizing below, each of the above listed business owner/officer (individually and collectively, “You”) authorize Biscayne Capital Funding and each of its representatives, successors, assigns and designees (“Recipients”) that may be involved with oracquire commercial loans having repayment features or purchases of future receivables including Merchant Cash Advancetransactions, including without limitation the application therefore (collectively, “Transactions”) to obtain consumer orpersonal, business and investigate reports and other information about you, including credit card processor statements and bank statements, from one or more consumer reporting agencies, such as TransUnion, Experian, and Equifax, and fromother credit bureaus form, along with any of the foregoing information obtained in connection with this application, to anyor all of the Recipients for foregoing purposes. You can also consent to the release, by any creditor or financial institution, ofany information relating to any of you, to Biscayne Capital Funding and to each of the Recipients, on its own behalf.

* please note that a signed physical copy will be needed prior to transaction. This online form is for approval basis only.

By clicking "I agree" I am giving authorization to proceed with my applicationI am also acting on behalf of any other parties mention in this application