Your funding application

Four short steps, about 5 minutes. Your progress is saved on this device as you go.

Amount requested

Enter an amount of at least $10,000.

What’s it for?Choose one.

About you

The business owner or an authorized officer.

First nameEnter your first name.

Last nameEnter your last name.

EmailEnter a valid email.

Mobile phoneEnter a 10-digit US number.

Your title (optional)

I agree that Veltcap may call and text me at the number I provided about my funding request, including calls made with an autodialer or a prerecorded, artificial or AI-generated voice, and automated text messages. Consent is not a condition of getting funding or buying anything. Message frequency varies. Message and data rates may apply. Reply STOP to stop texts or HELP for help; say “stop” or press 9 on any call to stop calls. See our Privacy Policy and SMS Terms.

Your business

As it appears on your bank statements and tax filings.

Legal business nameEnter the legal business name.

DBA (optional)

Type of entityChoose one.

Business website (optional)

IndustryChoose one.

Business started (month and year)Month and year, for example 2019-03.Enter the month and year as YYYY-MM, for example 2019-03.

Average monthly revenue

Average monthly deposits over your last 4 months.Enter your average monthly revenue.

EIN (tax ID)Enter a 9-digit EIN.

Your ownership (optional)

Business street addressEnter the street address.

Suite or unit (optional)

CityEnter the city.

StateChoose a state.

ZIP5-digit ZIP.

Current advance or loan, if any (optional)

Balance remaining (optional)

Bank statements and signature

Your last four months of business bank statements. PDFs downloaded from online banking work best.

Statement 1 (most recent)

Statement 2

Statement 3

Statement 4

I’ll upload my statements later. We’ll text and email you a secure upload link.

Owner verification and authorization

Owner’s date of birthUsed only to verify identity.Enter your date of birth.

I certify that the information in this application is true, accurate and complete. I authorize Veltcap, and any funding provider reviewing my request, to verify this information and obtain credit reports. Veltcap shares your file only with the provider(s) considered for your funding, never sold. Checking my options is a soft credit pull; a full credit check may be run only if I choose to move forward with an offer. This application is not a commitment to lend.

Please confirm the authorization.

Signature

Sign here with your finger or mouse

Please sign above, or type your full legal name below.

Or type your full legal name to sign (instead of drawing)

Submitting is free and doesn’t commit you to anything. We never ask for your Social Security number on this website.