CPR Capital Group CPRCapital (718) 734-0990

Application Form

Business funding application

Complete the application below and a CPR Capital funding advisor will follow up within 24 hours. Your information is submitted securely over an encrypted connection.

Business information

Principal / owner details

Principal 1

Approximate credit score

Principal 2 (if applicable)

Funding details

Has applicant ever been in bankruptcy?
Are any suits / judgments / liens pending against the applicant?
Do you have an OPEN cash advance?
Have you used a cash advance plan before?

Bank statements (optional)

Speed up your approval by attaching your last 3 months of business bank statements.

    Certification & signature

    By signing & submitting this application, you certify that (i) you are authorized to apply on behalf of the Company whose full legal name appears above for a business advance from CPR Capital, LLC and/or our representatives and (ii) all information you provide is true and complete and that you will notify us of material changes. You agree that we and our agents, representatives, and assignees are authorized to contact third parties to make inquiries in evaluating your application (including obtaining business & personal credit bureau reports from credit reporting agencies and other sources) or for any update, renewal, or extension of credit. You agree that we may provide credit & other information from this application and on the signing individual(s) & the company to third parties who may use the information for any lawful purpose, including offering credit and/or other products & services.

    Signature *
    Sign here with your mouse or finger

    Draw your signature above. Required to submit.

    Submitted securely over HTTPS. Funding is subject to underwriting approval.