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Get your Bank Statement

1st Bank of Sea Isle Citys

1st Bank Yuma

AgFirst Farm Credit Bank

Allegiance Bank

Ally Bank

Amalgamated Bank of Chicago

Application Form EN - 1

1
2
3
4
5

Business Legal Name

Business DBA Name

Federal Tax ID (EIN#)

Business Inception Date

Business Website

Business #

Business Email

Description of Business

Personal Number

Personal Email

Business Address

State

City

ZIP

Please upload your 4 latest monthly statements from your bank. You can use the filter tool to find your bank

Bank Statement Upload

Choose Files (up to 6)

Type of Business Entity

If own, property value

If leased, how long?

Number of Employees

Current Credit Card Processing Company

Judgement

Yes

No

Bankruptcy

Yes

No

Current Cash Advance

Yes

No

Seasonal Business

Yes

No

Business Monthly Deposits

Requested Amount

$

Approximate Credit Score

If YES to 'Current Cash Advance', What is the Balance?

Name of Lender	Balance

Business Owner Information

Primary Owner

First Name

Last Name

Home Address

City/State/Zip

Date of Birth

Social Security #

Percentage of Ownership

%

Cell Phone Number

Secondary Owner

First Name

Last Name

Home Address

City/State/Zip

Date of Birth

Social Security #

Percentage of Ownership

%

Cell Phone Number

More than two owners?

Yes

No

Third Owner

First Name

Last Name

Home Address

City/State/Zip

Date of Birth

Social Security #

Cell Phone Number

Percentage of Ownership

%

Fourth Owner

First Name

Last Name

Home Address

City/State/Zip

Date of Birth

Social Security #

Cell Phone Number

Percentage of Ownership

%

Broker's name

By signing below, each of the above listed business and business owner/officer (individually and collectively, "you") authorize Atlas Group NYC and each of its representatives, successors, assigns and designees (" Recipients) that may be involved with or acquire commercial loans having daily repayment features or purchases of future receivables including Merchant Cash Advance transactions, Including without limitation the application therefor (collectively, "Transactions") to obtain consumer and/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, and from other credit bureaus, banks, creditors and other third parties. You also authorize Atlas Group NYC to transmit this application form, with any of the foregoing information obtained in connections with this application, to any or all of the Recipients for the foregoing purposes. You
also consent to the release, by an creditor or financial institution, of any information relating to any of you, to Atlas Group NYC and each Recipient, on its own behalf.

Signature

Sign Here

Signature

Sign Here

Date

Get your Bank Statement

Get your Bank Statement

1st Bank of Sea Isle Citys

1st Bank Yuma

AgFirst Farm Credit Bank

Allegiance Bank

Ally Bank

Amalgamated Bank of Chicago

American Express

American Savings Bank

Ameriprise Financial

Ameris Bank

Armed Forces Bank

Arvest Bank

Associated Bank

Atlantic Credit Union

Atlantic Union Bank

Banco Azteca

Banco Bradesco S.A.

Banco Davivienda S.A.

Banco de Crédito del Perú

Banco de Crédito e Inversiones S.A.

Banco de la Nación Argentina

Banco de la Rep. Oriental de Uruguay

Banco Pichincha C.A.

Banco Sabadell S.A.

Bank of America

Bank of China Limited

Bank of Hawaii

Bank of Montreal

Bank of New York Mellon

Bank of the West

Bank of Yokohama

BankUnited

Banque Transatrantique

Baptist Credit Union

Barclays Bank

Barclays Bank PLC

Bard Employees Credit Union

BBVA Bancomer S.A.

BBVA Compass

Blue Foundry Bank

BMO Financial Corp

BMO Harris Bank

BNP Paribas USA

BNY Mellon

BOK Financial

Branch Banking and Trust Company

Cadence Bank

Campbell Employees Credit Union

Capital One Bank

Cathay Bank

Celtic Bank

Century Savings Bank

Charles Schwab

CIBC Bank USA

CIT Group

Citi

Citizens Financial Group

City National Bank of Florida

Comenity Bank

Comerica

Commerce Bank

Community Financial Services Credit Union

Credit Suisse

Credit Union of New Jersey

CreditOne Bank

Deepwater Industries Credit Union

Deutsche Bank

Deutsche Bank Aktiengesellschaft

Discover Bank

East West Bank

Energy People Credit Union

Fifth Third Bank

First Atlantic Credit Union

First Bank

First Citizens BancShares

First Hawaiian Bank

First Horizon Corporation

First Midwest Bank

First National of Nebraska

First Republic Bank

FirstBank

Flagstar Bank

FNB First National Bank

Frost Bank

Fulton Financial Corporation

Gaf Linden Employees Credit Union

Garden State Credit Union

Glacier Bancorp

Goldman Sachs

Green Dot Bank

Hancock Whitney

HSBC North America

Huntington Bancshares

Intesa Sanpaolo S.P.A.

Investors Bank

John Deere

JPMorgan Chase & Co.

Keybank

Lakeland Bank

M&T Bank

Mechanics Bank

MidFirst Bank

Morgan Stanley

MUFG Union Bank

New York Community Bank

Northern Trust

Old National Bank

Pacific Premier Bank

Pacific Western Bank

PenFed Credit Union

People’s United Financial

Pinnacle Financial Partners

PNC Financial Services

Popular, Inc.

Prosperity Bancshares

Raymond James Financial

RBC Bank

Regions Financial Corporation

Santander Bank

Signature Bank

Silicon Valley Bank

Simmons Bank

Skandinaviska Enskilda Banken AB

South State Bank

State Street

State Street Bank

Sterling Bank&Trust

Stifel

SunTrust

Synchrony Financial

Synovus

TD Bank

Texas Capital Bank

TIAA

Truist Financial

UBS Americas Holding

UMB Financial

Umpqua Bank

United Bank

United Community Bank

USAA

USBankCorp

Valley Bank

WaFd Bank

Webster Bank

Wells Fargo

Western Alliance Bancorporation

Wintrust Financial

Application Form EN - 1

1
2
3
4
5

Business Legal Name

Business DBA Name

Federal Tax ID (EIN#)

Business Inception Date

Business Website

Business #

Business Email

Description of Business

Personal Number

Personal Email

Business Address

State

City

ZIP

Please upload your 4 latest monthly statements from your bank. You can use the filter tool to find your bank

Bank Statement Upload

Choose Files (up to 6)

Type of Business Entity

If own, property value

If leased, how long?

Number of Employees

Current Credit Card Processing Company

Judgement

Yes

No

Bankruptcy

Yes

No

Current Cash Advance

Yes

No

Seasonal Business

Yes

No

Business Monthly Deposits

Requested Amount

$

Approximate Credit Score

If YES to 'Current Cash Advance', What is the Balance?

Name of Lender	Balance

Business Owner Information

Primary Owner

First Name

Last Name

Home Address

City/State/Zip

Date of Birth

Social Security #

Percentage of Ownership

%

Cell Phone Number

Secondary Owner

First Name

Last Name

Home Address

City/State/Zip

Date of Birth

Social Security #

Percentage of Ownership

%

Cell Phone Number

More than two owners?

Yes

No

Third Owner

First Name

Last Name

Home Address

City/State/Zip

Date of Birth

Social Security #

Cell Phone Number

Percentage of Ownership

%

Fourth Owner

First Name

Last Name

Home Address

City/State/Zip

Date of Birth

Social Security #

Cell Phone Number

Percentage of Ownership

%

Broker's name

By signing below, each of the above listed business and business owner/officer (individually and collectively, "you") authorize Atlas Group NYC and each of its representatives, successors, assigns and designees (" Recipients) that may be involved with or acquire commercial loans having daily repayment features or purchases of future receivables including Merchant Cash Advance transactions, Including without limitation the application therefor (collectively, "Transactions") to obtain consumer and/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, and from other credit bureaus, banks, creditors and other third parties. You also authorize Atlas Group NYC to transmit this application form, with any of the foregoing information obtained in connections with this application, to any or all of the Recipients for the foregoing purposes. You
also consent to the release, by an creditor or financial institution, of any information relating to any of you, to Atlas Group NYC and each Recipient, on its own behalf.

Signature

Sign Here

Signature

Sign Here

Date

Atlas Group NYC provides fast capital to small and mid sized businesses. Using our extensive knowledge and years of industry experience we have been able to develop a one of a kind approach to partnerships and capital acquisition.

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