Why MarcFunding?
  About Us
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  How Does This Work?
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Apply Now!
It's easy to begin the application process for funding. Simply complete the on-line application form below and submit it.

If you prefer, download the application as a pdf file, complete and fax it to 914.517.9566. Fill in as much as possible. The more complete each answer, the sooner we can provide
financing to you.

Wthin 48 hours of receiving your application, MarcFunding will contact you to discuss the possibilities of a specifically designed program for your business. Thank you.











City, St, Zip



Office Tel











Web Site



Industry/Business Description


Avg. mo. volume
to factor



Avg. invoice size
($ amount)



# of customers
to factor



How long in business


1-4 customers to factor (for credit research only; they will NOT be contacted).
Be sure company names are spelled correctly.





Business Type


  If Corp. or LLC,
state of corporate






Owner’s Date of Birth



First 5 digits of SS #



Do you have any:



  Current Bank Loans
or Lines of Credit


  Tax Liens
or Other Liens


  Pending Litigation
or Existing Judgments


  Criminal Record


  If Yes to any above
  please describe


Are your:



  State Taxes current


  Federal & Payroll
Taxes current


  If No please describe





How did you find us?


Name of person
or company who
referred you


Name of person
submitting this form


Submitter’s Phone




The foregoing information is provided by an authorized company representative or broker consultant, and is true and correct to the best of my knowledge.

Upon clicking the Submit and Authorize button, MarcFunding, LLC or its agents are authorized to verify and investigate any or all of the foregoing statements. MarcFunding, LLC is granted the right to procure credit information pertaining to all principals listed in this application.





MarcFunding, LLC.
333 Mamaroneck Avenue | #295 | White Plains, NY 10605
Phone: 1.888.797.6272 or 914.997.6272
Fax: 914.517.9566


Copyright © 2008 MarcFunding, LLC. All rights reserved.