© 2023 All Rights Reserved. Call us for a FREE Consultation 1 (813) 355-9441 OmnipayUSABusiness Financing ProgramPlease provide the following additional information and we will contact you shortly with your approval information.5 Star Rating on Google2017 and 2017 HonorsBBB Accredited Business Business Info What is your business's name and type? Address and Contact State StateAlabamaAlaskaAlbertaArizonaArkansasBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinois Select Business TypeAdult EntertainmentAdvertising ServicesAgriculture/LandscapingApparel/ AccessoriesAuction HouseAutomotive/ BicycleBeauty/ Hair/ Nail SalonBuilding MaterialsBusiness ServicesCannabisConstruction/ ContractorsEducation/ School/ TutorElectronics/ Computer RepairEnergy/ FuelsFirearms Select Legal EntityCorpLLCSole PropPublicOtherPartnership Additional Business Information Landlord/Rent/Mortgage Info Do you own any Real Estate? Select OneNoResidentialCommercialBoth Funding How much would you like and how much do you earn? Do you have any current Business Loan Balances? Select OneNoYes Do you accept American Express as a form of payment for your business? Do you have a personal American Express credit card account? Select OneNoYes Select OneNoYes About You What's your name? First Name Last Name Your Address Contact Details Home Address City Phone Mobile State StateAlabamaAlaskaAlbertaArizonaArkansasBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinois Zip Email Address Additional Info % of Business Owned DOB SS# Approx. Credit Score Supporting Documents You're almost there. Just attached a few documents we need. Bank statements (last 3 months, 4 months if located in California) Bank statements (last 3 months, 4 months if located in California) Terms & Conditions I acknowledge and agree to the belowTerms of Acceptance. I, on behalf of myself, the Merchant, and its owners/principals, acknowledge and agree to the below Terms of Acceptance. By signing this Application, the Merchant and its owners/principals: (1) certify that all information and documents submitted in connection with this Application are true, correct and complete; and (2) authorize United Capital Source Inc., its agents, partners, affiliates and lenders to perform the credit and background investigation necessary and any other information regarding the Merchant and its owners and principals from third parties, to verify any information provided in connection with the Application. I am authorized by all necessary parties (including the Merchant, its owners, and its principals) to agree to these terms on their behalf. Merchant and its owners/principals verify the accuracy of the telephone numbers and email addresses provided in connection with this Application, and consent to receive telephone calls and text messages, including by automated technology (including auto-dialing or prerecording), regarding products and services offered by, through, or on behalf of United Capital Source, Inc. or its affiliates. This consent is effective even if the number(s) are registered on a federal or state Do-Not-Call list. Merchant and its owners/principals consent to receive emails to the email addresses provided on this Application, regarding products and services offered by, through, or on behalf of United Capital Source or its affiliates. No purchase or completed transaction is required. Message and data rates may apply. To opt out at any time please email info@unitedcapitalsource.com. Get Funded QUICK LINKS Business Loans Industries We Serve Canada Business Loans FAQ’s 1001 Franklin Ave Suite 200, Garden City, NY 11530 © 2023 United Capital Source Inc. All Rights Reserved. 7901 4th N. Street Suite 300, St. Petersburg, FL 33702 © 2023 Omnipayusa LLC. All Rights Reserved.5 Star Rating on Google2015 and 2017 HonorsBBB Accredited Business Facebook Instagram Youtube By using our site you agree to adhere to the following Terms & Privacy policies: Terms Privacy
