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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.

Company

 

 

Contact

 

Title

 

 

Address

 

City, St, Zip

 

 

Office Tel

 

Cell

 

 

Fax

 

 

Email

 

 

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
registration

 

 

FEIN #

 

 

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

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