RQS Inc

Secure application

Business Funding Application

Submitted through RQS Inc — Dennis Thomas

1

Business Information

2

Business Address

Billing Address (if different than above)

3

Property & Financials

Where you operate and how the business is doing.

4

Existing Loans / MCAs

Leave blank if none.

5

Judgments & Bankruptcy

6

Funding Request

7

Primary Owner / Officer

Secondary Owner / Officer (if any)

Only the primary owner signs below. If a secondary owner needs to sign, Lenders Access will follow up with a separate signing link.

8

Bank Statements & Supporting Documents

Attaching these now is the single biggest thing you can do to speed up an offer.

Business bank statements — last four months

All pages of every statement for the last four complete months, for the account your business deposits into. PDFs downloaded from your bank are ideal; clear photos or scans work too.

Choose files or drag them here

PDF, image, or spreadsheet — you can select several at once

Other supporting documents (optional)

Anything else that helps tell the story — driver’s license, voided check, most recent tax return, credit card processing statements, A/R aging, or a payoff letter for an existing advance.

Choose files or drag them here

PDF, image, or spreadsheet — you can select several at once

Uploads are optional — you can submit without them and send them to us later — but your application can’t be shopped to lenders until we have the four months of statements.

Authorization

By signing below, each of the above listed business and business owner/officer (individually and collectively, "you") authorize Lenders Access LLC (LA LLC) 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 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.

Your information is submitted securely and shared only with Lenders Access.