3. FUNDING APPLICATION
505 N. Euclid St. Suite 620, Anaheim, CA 92801
FAX TO:
Toll free: 800-760-5516
Tel: 714-765-8141
866-822-0260
info@americanfinancesolutions.com
www.americanfinancesolutions.com
Sales Rep. ID: ____________
AMERICAN FINANCE SOLUTIONS
Submit by Email
Print Form
Please fill in the spaces below, sign and mail or fax us the application. By doing so, you are giving American Finance Solutions, as well as its agents and affiliates, permission to review your
business and personal credit history in order to provide you with formal funding approval. All information supplied is confidential and shall be used solely for the purpose of determinining eligibility.
Business Legal Name:
Business DBA Name:
Address:
Suite / Floor:
Phone:
City:
Fax:
Business Start Date (month / year):
State:
Mobile:
Length of Ownership:
Zip:
Tax ID #:
Legal Entity:
Corp
Sole Prop
LLC
Partnership
Industry Type:
E-mail:
Website:
Landlord / Mortgage Company:
Rent / Mortgage Payment:
Lease Expiration:
Landlord Contact Name:
Landlord Contact Phone:
Landlord Contact Fax:
T
R
A
D
E
R
E
F
E
R
E
N
C
E
S
Company Name:
Contact:
Telephone:
Company Name:
Contact:
Telephone:
Company Name:
Contact:
Telephone:
PRINCIPAL / OWNER DETAILS
Principal (1) Name:
Mr
Mrs Title:
Address:
% Ownership:
City:
Phone:
Fax:
State:
Mobile:
E-mail:
Social Security #:
SIGNATURE:
Principal (2) Name:
Mr
DATE:
Mrs Title:
Address:
% Ownership:
City:
Phone:
Fax:
State:
Mobile:
E-mail:
Zip:
Zip:
Social Security #:
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:
Bank Name:
Account Number:
Routing Number:
Merchant Account Number:
AMEX Account Number:
Discover Account Number:
Has applicant ever been in bankruptcy?:
YES
NO
Are any suits/judgements/liens pending against the applicant:
YES
NO
Do you have an OPEN cash advance?
If YES, with who:
YES
NO
Balance:
Have you used a cash advance plan before?:
If yes, with who:
YES
NO
5.
Deal Process
Submission
• Submit Deals By Email: funding@americanfinancesolutions.com
• Submit Deals By Fax: 866‐822‐0260
• Agent Receives Confirmation of Submission Through the Agent Portal
• Once Received, the Account Executive Will Contact You Within One Business Day
for Approval
• Notify your Account Executive of Merchant's Accepted Quote. The Account
Pricing & Funding Executive will Email out the Funding Documents with a List of All Remaining
Stipulations Needed
Documents
Verification
Funding &
Follow‐Up
• Signed Contracts & Stipulations are Returned and the File is Submitted to the
Verification Department
• Verifications Completes: Landlord, Trade Reference and Welcome Calls
• Merchant Receives Funds via Wire
• Merchant Recevies Welcome Call from AFS Customer Service ; Recevies Portal
Login
• Customer Service Follows Up with Client Every 30 Days
American Finance Solutions 800‐760‐5516 www.americanfinancesolutions.com
7.
Frequently Asked Questions
What can American Finance Solutions do for my business?
Why should I deal with American Finance Solutions?
How can I use the cash?
How does it work?
What is the interest rate?
Will I qualify?
How long does it take to get approved?
How much can I qualify for?
How soon can I have the cash?
Will I be able to monitor my account payments and balance?
How often can I get funding?
___________________________________________________________________________________
American Finance Solutions
800-760-5516
www.americanfinancesolutions.com