Apply for Funding - Express Capital Funding

Personal Information

First Name *

Last Name *

Phone Number *

Email *

How did you hear about us?

By checking this box, you agree to Express Capital Funding's privacy policy and receive SMS communications. *

Business Information

Legal Business Name *

Business Phone *

Federal Tax ID

Industry

Years in Business *

Business Address *

Start typing to auto-complete your address, then adjust anything manually if needed.

City *

State *

Zip Code *

Annual Revenue *

Owner Information

If the applicant is also the primary owner, keep this checked and we will fill the owner name automatically.

Use applicant name for primary owner Uncheck this if the primary owner should use a different name.

Owner application progress

0 of 1 owner applications are complete.

1 pending

Full Name *

% of Ownership *

Date of Birth *

Social Security Number *

Home Address *

Start typing to auto-complete your address, then adjust anything manually if needed.

City *

State *

Zip Code *

Additional owner applications

Create a secure application for each additional owner. They can fill out their own personal information and signature from their unique link.

0 additional owners

No additional owners yet. Add one below if ownership needs to be split across multiple signers.

Create another owner application

The owner has agreed to receive text updates about this application.

Create the application now, then send email or text invites from the owner card once the contact info is saved.

Review and Sign Your Application

Section A - Business Information

Business Name

Business Phone

Federal Tax ID

Industry

Years in Business

Annual Revenue

Business Address

Section B - Primary Owner Information

First Name

Last Name

Email

Phone Number

Home Address

Date of Birth

% of Ownership

Section C - Owner Application Status

Every owner application must be complete before the application can be submitted.

0 / 1 complete

Primary owner (Primary application)

Ownership pending

Pending

Sign for the Primary Owner Application

Choose the signature style you want to use for the primary owner. Additional owners sign from their own application links.

Signer name

This will use a signature-style font, similar to a typed e-sign flow.

Signature preview

Electronic signature preview

Application Submitted!

Thank you for applying with Express Capital Funding. We've received your application and will review it shortly.

What's next?
Our funding specialists will review your application and contact you within 24 hours to discuss your funding options. If you still need to send bank statements or other supporting documents, upload them below or return to this secure link later.

Return to Home

This secure application link stays associated with your upload history, so you can come back and add more files if needed.