COMMERCIAL FINANCING APPLICATION Western Pacific Lending
Business Legal Name: Business DBA Name:
Address:
Suite / Floor:
City:
State:
Zip:
Phone:
Fax:
Mobile:
Tax ID:
Business Start Date:
Length of Ownership:
Legal Entity: Corp Sole Prop LLC Partnership
E-mail: Website:
Landlord / Mortgage Comapny:
Rent / Mortgage Payment: Lease Expiration:
Landlord Contact Name:
Landlord Contact Phone:
Landlord Contact Fax:
Trade References Company Name:
Contact:
Telephone:
Company Name:
Contact:
Telephone:
Company Name:
Contact:
Telephone:
Principal / Owner Details
Principal (1) Name: Mr. Mrs.
Title: % Ownership
Address:
City: State:
Zip:
Phone: Fax: Mobile Social Security #:
Annual Income:
Driver's License #: Date of Birth:
E-mail:
SIGNATURE: DATE:
Principal (2) Name: Mr. Mrs.
Title: % Ownership
Address:
City: State:
Zip:
Phone: Fax: Mobile: Social Security #:
Annual Income:
Driver's License #: Date of Birth:
E-mail:
SIGNATURE: DATE:
Funding Details
Desired Advance Amount: Minimum Advance Amount:
Average Ticket Size:
Average Monthly Visa / MasterCard Sales: Average Monthly Total Sales:
Proposed Use of Funds:
Current Processing Company:
Business for Sale: Gross Annual Sales:
Current Taxes Filed:
Number of Locations: Number of Terminals:
Terminal Type:
Has applicant ever been in bankruptcy? Yes No Any suits / judgements / liens pending against the applicant? Yes No
Do you have an OPEN cash advance?
Yes No

If yes, with who:
  Have you used a cash advance plan before?
Yes No

If yes, with who:
   
Small Business Application
Authorization Form
Date:
Partner ID:
COMPANY INFORMATION
Exact Legal Company Name:
Owner Name:

By signing and faxing or e-mailing us this Loan Application Authorization Form, you certify that (i) you are authorized to apply on behalf of the company whose full legal name appears above (the "Company") for a business loan from MetaBank, and (ii) all information you provided in the attached Loan Application that you submitted on behalf of the Company and other supporting documents is true and complete and that you will notify MetaBank of material changes to such information. You understand and agree that MetaBank and its agents and assignees are authorized to contact third parties to make inquiries in evaluating the Company's Loan Application (including requesting business and personal credit bureau reports from credit reporting agencies and other sources) or for any update, renewal, extension of credit or other lawful purpose. You and the Company understand and agree that MetaBank and its agents may provide credit information and other information from the Loan Application and about the signing individual(s) and the Company to third parties who may use the information for any lawful purpose, including for the purpose of offering credit and/or other products and services to the signing individual(s) and/or the Company.

If approved, the loan to the Company will be made by MetaBank, a federally chartered savings bank.

I have read and understand the foregoing in its entirety and affirm, acknowledge and agree to the foregoing on behalf of myself and the Company:

Signature:
Print Name:
Title: Date: