Applications

Primary Owner Information
Name*
First Last
Email*
Cell Number*
Ownership Percentage*
Please enter a number from 1 to 100.
Owner's Home Address*
Street Address City State ZIP Code
SSN*
Date of Birth*
Second Owner Information
Does your business have a second owner with 50% or more ownership?*
Are they able to fill out their information now or at a later date?*
- Yes, I can provide their information
- No, I can not provide their information now
Your application can still be accepted if you are not able to provide their information.
How would you like to send the shorter application version link to the other owner?*
- Email
- It will be completed at a later date
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Mobile Number for Application to Second Owner*
Email to Send Application to Second Owner*
Name*
First Last
Email*
Second Owner's Mobile Number*
Ownership Percentage*
Please enter a number from 1 to 100.
Second Owners Home Address*
Street Address City State ZIP Code
SSN*
Date of Birth*

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Requested Capital Amount
Requested Amount ( )
Please enter a number from 5000 to 2000000.
Estimated Gross Annual Revenue*
Have you applied for ERC Grant?*
Number of W-2 Employees in 2020:*
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Do you currently have open loans? ( )
- Yes ( )
- No ( )
**Exclude any relief loans provided that are government based
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Number of Open Loans ( )
- 1 ( )
- 2 ( )
- 3 ( )
- 4 or more ( )
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Email ( )
Bank Statements
Required, but these documents may be submitted via email or fax.
Will you be submitting your bank statements via this online form?*
Bank Statement 1 ( )
Accepted file types: jpg, jpeg, png, pdf, Max. file size: 256 MB.
Bank Statement 2 ( )
Accepted file types: jpg, jpeg, png, pdf, Max. file size: 128 MB.
Bank Statement 3 ( )
Accepted file types: jpg, jpeg, png, pdf, Max. file size: 128 MB.
Month-to-date Upload ( )
Accepted file types: jpg, jpeg, png, pdf, Max. file size: 128 MB.
Credit Card Statements
Will you be submitting your credit card statements via this online form? ( )
Credit Card Statement 1 ( )
Accepted file types: jpg, jpeg, png, pdf, Max. file size: 128 MB.
Credit Card Statement 2 ( )
Accepted file types: jpg, jpeg, png, pdf, Max. file size: 128 MB.
Credit Card Statement 3 ( )
Accepted file types: jpg, jpeg, png, pdf, Max. file size: 128 MB.
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Who are you working with at Parkview Advance? ( )
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Who were you working with at Parkview Advance? ( )
Owner Signature*
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Date (Owner 1) ( )
MM slash DD slash YYYY
Second Owner's Signature*
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Date (Owner 2)*
MM slash DD slash YYYY
Signature Authorization*
I Understand
By signing above, each of the above listed business and business owner/officer (individually and collectively, “you”) authorize Parkview Advance LLC . and each of its representatives, successors, assigns and designees (“Recipients”) that may be involved with or acquire commercial loans having daily repayment features or purchases of future receivables including Merchant Cash Advance transactions, including without limitation the application therefor (collectively, “Transactions”) to obtain consumer and/or personal, business and investigative 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 from other credit bureaus, banks, creditors and other third parties. You also authorize Parkview Advance LLC to transmit this application form, with any of the foregoing information obtained in connection with this application, to any or all of the Recipients for the foregoing purposes. You also consent to the release, by any creditor or financial institution, of any information relating to any of you, to Parkview Advance LLC and to each of the Recipients, on its own behalf. I am providing my business cell phone and business e-mail address and hereby consent to the receipt of correspondence/messages regarding transactions with Parkview Advance LLC and/or its affiliates on either medium. I also hereby consent to the receipt of text messages knowing that msg. and data rates may apply. I understand that consent to receive texts is not a condition of approval. I can expect approx. 10 msgs./month. I/we certify that all the information contained herein is complete, true and accurate.

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Application

Step 1 of 3

Business Information

Primary Owner Information

Second Owner Information

Requested Capital Amount

Bank Statements

Credit Card Statements

Parkview Advance

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