Mulligan Funding

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Customer Service 888.234.7244
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Mulligan Funding Application
What funding amount are you requesting: $   What are your gross annual sales: $ (include cash, check and credit card payments)
How long have you owned your business?
Company Name: DBA (If Different):
Street Address: Mailing Address:
City / State / Zip: / / City / State / Zip: / /
Business Phone: Business Fax:
Website: Email:  
Corporate Structure: Tax ID: State of Incorporation:
Primary Contact: Title: Years at this location:
Industry Type (SIC code or description): Use of Proceeds:
Do You: Monthly Payment: $  
Lease Start Date:   Months Left on Lease:
Landlord or Mortgage Company: Contact:
Contact Phone: Contact Fax:
Owner Name: Owner Name:
Social Security Number: Social Security Number:
Home Address: Home Street Address:
CIty / State / Zip: / / CIty / State / Zip: / /
Date of Birth: (mm/dd/yyyy)   Date of Birth: (mm/dd/yyyy)  
Cell Phone: Cell Phone:
Email:   Email:  
Years/Months at this address: Years/Months at this address:
Have you ever filed for bankruptcy: Are you contemplating filing for bankruptcy:
Do you have any outstanding advances: Have you received any advances from other companies:
Is there seasonality in your business: If yes, what is the amount?  
Name of current credit card processor:

List the total VISA/MasterCard processing from the previous four months:

1. Month: 2. Month: 3. Month: 4. Month:
# of Tickets:   # of Tickets: # of Tickets:
# of Tickets:
Volume $:   Volume $: Volume $: Volume $:
Company Name: Contact: Phone: Fax Number:
Company Name: Contact Phone Fax Number:

The Merchant and Owner(s)/Officer(s) identified above (individually, an “Applicant”) each represents, acknowledges and agrees that (1) all information and documents provided to Mulligan Funding, LLC including credit card processor statements are true, accurate and complete, (2) Applicant will immediately notify Mulligan of any change in such information or financial condition, (3) Applicant authorizes Mulligan to disclose all information and documents that Mulligan may obtain including credit reports to other persons or entities (collectively, “Assignees”) that may be involved with or acquire commercial loans having daily or periodic repayment features or purchases of future receivables including Merchant Cash Advance transactions, including without limitation the application therefor (collectively, “Transactions“), and each Assignee is authorized to use such information and documents, and share such information and documents with other Assignees, in connection with potential Transactions, (4) each Assignee will rely upon the accuracy and completeness of such information and documents, (5) Mulligan, Assignees, and each of their representatives, successors, assigns and designees (collectively, “Recipients“) are authorized to request and receive any investigative reports, credit reports, statements from creditors or financial institutions, verification of information, or any other information that a Recipient deems necessary, (6) Applicant waives and releases any claims against Recipients and any information-providers arising from any act or omission relating to the requesting, receiving or release of information , and (7) each Owner/Officer represents that he or she is authorized to sign this form on behalf of Merchant.

Applicants agree that any pre-qualified offers made by or on behalf of Mulligan are confidential and may not be disclosed to third parties (other than to Applicants' legal or financial advisors or as required by law), except at Mulligan's express, written direction.

I agree to all Terms and Conditions listed above

Contact Us 888.705.3767
Email us for more information: envelope
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Welcome to the Mulligan Merchant Cash application process. Before you continue, please help us to identify you by entering your unique 16-digit membership number and name in the spaces provided. If you do not know or do not have a membership number, please select the "I am not a member yet" tab below.

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