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TriMark Capital Funding, Inc. Credit Card Sales Advance Loan Application Form
TCF Locator Info
(ONLY if Applicable)
TCF Locator Name:
TCF Locator ID:
Application Date (xx-xx-xxxx):
Applicant's Name:
General Information
D.B.A.:
Corporation/Legal Name:
Physical Address:
City, State, ZIP:
Phone:
Fax:
Cell:
Email:
Type of Ownership:
Select One
Sole Proprietor
Corporation
Partnership
Limited Partnership
LLC
LLP
Month/Year Business Started (xx-xxxx):
Federal Tax #:
Corporate Officer:
Title:
Home Address:
City, State, ZIP:
Corporate Officer SSN:
DOB (xx-xx-xxxx):
Home Phone:
Business Bank Name:
City, State, ZIP:
Bank Contact:
Phone:
Landlord Name:
Phone:
# of Employees:
Rent:
Square Feet:
Trade References
Business Name:
Contact:
Phone:
Business Name:
Contact:
Phone:
Business Name:
Contact:
Phone:
Merchant Information
Total Monthly Income:
Visa / MasterCard Monthly Income:
Current Credit Card Processor:
Credit Card Processor Phone:
Terminal Type:
Printer Type:
Visa / MasterCard Merchant #:
American Express Merchant #:
Discover Merchant #:
Diners Club / Carte Blanche Merchant #:
What is the best time to contact you?:
Select One
Daytime
Evening
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