Information form
4 steps to funding

Thank you for placing your trust in us. Please take a few minutes to complete the form below. We will process your request right away.
Consent to Communications:
By providing your contact information and signing below, you authorize Premium Merchant Funding (PMF) and its representatives, successors, assigns, and designees to communicate with you via phone calls, text messages, and emails, including automated technology and pre-recorded messages, for informational, marketing, or transactional purposes. Standard message and data rates may apply. Message frequency may vary. You may opt-out at any time by replying "STOP" to text messages, unsubscribing from emails, or contacting us directly. For help, reply "HELP" at any time or contact us at support@pmfus.com. You further authorize PMF and its designees to obtain consumer, personal, business, and investigative reports about you from consumer reporting agencies (including TransUnion, Experian, Equifax, and Identity IQ), banks, creditors, government agencies, and other third parties (collectively, the "Recipients"). PMF may transmit this application form, along with any information obtained in connection with it, to any or all Recipients for purposes related to commercial loans or purchases of future receivables (collectively, "Transactions"). You also consent to the release, by any creditor or financial institution, of any information relating to you, to PMF and each of the Recipients. PMF is authorized to communicate with the Recipients on your behalf and represent you in matters related to the Transactions. Your information will be handled in accordance with our Terms of Use and Privacy Policy.

Business Details

Basic Documents

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Please include last 4 month of business bank statements
By signing below, each of the above listed business and business owner/officer (individually and collectively, “you”) authorize Premium Merchant Funding, 18 LLC ("PMF") and each of its representatives, successors, assigns and designees that may be involved with or acquire commercial loans or purchases of future receivables including, without limitation, the application therefor (collectively, “Transactions”) to obtain consumer or personal, business and investigative reports and other information about you, including credit card processor statements and bank statements, from one or more consumer reporting agencies, such as TransUnion, Experian and Equifax, Identity IQ and from other credit bureaus, banks, creditors, government agencies and other third parties (the “Recipients”). You also authorize PMF to transmit this application form, along with any of the foregoing information obtained in connection with this application, to any or all of the Recipients for the foregoing purposes. You also consent to the release, by any creditor or financial institution, of any information relating to any of you, to PMF and to each of the Recipients, on its own behalf and authorize PMF to communicate with the Recipients on your behalf and represent you with the Recipients. You also authorize PMF and each of its Recipients to contact you via text message, automated call or email message at the contact information listed above.
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