Weedsies Funding Application A Pre-approval Application for Weedsies Vendors to have access to Funding for their CBD, Hemp, and Cannabis Businesses Company InformationCompany Legal Name:*DBA Name:*Federal Tax ID Number*Physical Address (No PO Boxes)* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Business Phone #*Business Start Date* Date Format: MM slash DD slash YYYY Legal Entity*CorporationGeneral PartnershipSole Prop.LLCLLPDo you have an outstanding merchant cash advance?*YesNoHow much outstanding Cash Advance do you currently have?*Please enter a number greater than or equal to 1.Industry Type* CBD HEMP Cannabis CBD, Hemp, Cannabis Accessories Estimated Flow OverviewYour Annual Business Revenue*Number of Monthly Deposits*Your Average Gross Monthly Revenue*Loan Amount Requested*Intended Use of Funds*Owner 1 InformationName* First Last Email* Phone*Cell Phone*SSC Number*Date of Birth* Date Format: MM slash DD slash YYYY Annual Income*Home Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Business Ownership %*Is there a Second Owner?*YesNoOwner 2 InformationName First Last Email PhoneCell PhoneSSC NumberDate of Birth Date Format: MM slash DD slash YYYY Annual IncomeHome Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Business Ownership %Signatory SectionPlease Sign this document with your legal signature as the signature that appears on your Drivers License or State issued ID. Effective Date of this Document is as of its electronic submission date. Signature of Owner or Authorized Signee*Please Sign this document with your legal signature as the signature that appears on your Drivers License or State issued ID. Name of Authorized Person Signing Above* First Last Signature of 2nd Owner or Authorized Signee*Please Sign this document with your legal signature as the signature that appears on your Drivers License or State issued ID. Name of 2nd Owner or Authorized Person Signing Above* First Last Electronic Application Acknowledgement* By submitting this application, you certify that (i) you are authorized to apply on behalf of the company whose full legal name appears above under the Company Information portion of the Loan Application for a business loan from us and (ii) all information you provide within the Loan Application and other supporting documents is true and complete and that you will notify us of material changes to such information. You understand & agree that we and our agents and assignees are authorized to contact 3rd parties to make inquires in evaluating your Loan Application (including requesting business & personal credit bureau reports from credit reporting agencies and other sources) or for any update, renewal, extension of credit bureau name and address. You understand and agree that we may provide credit & other information from the Loan Application and on the signing individual(s) & the company with 3rd parties who may use the information any lawful purpose, including for the purpose of offering credit and/or other products & services to the signing individual(s) and/or the company. PhoneThis field is for validation purposes and should be left unchanged.