Funding Application

If there are more than 3 owners/officers, add them in the Additional Notes section near the bottom of this form.

Please upload your three (3) most recent Bank Statements Maximum total size: 40 MB Allowed file types: pdf, jpg, jpeg, gif, png

I hereby represent that all the above information is true and understand that making false statements might be considered fraud. By providing the above information, the applicant(s) authorize you to whom this application is made or your agents to investigate my/our financial responsibility and credit worthiness, specifically principal and corporate entities, and will provide financial statements, tax returns, etc. as you deem necessary. A photocopy of this authorization will be deemed as acceptable for release of credit information. I/we authorize Evergreen Gateway to receive pertinent information regarding the commercial lease for the above referenced location from my leasing company and or agent. I/we authorize you to update my/our credit profile from time to time in the future, as you deem appropriate.