Basic Information

Purchase of Restaurant Future Sales

Provide us some basic information:

How much of your future sales would you like to sell at a discount to get cash? *

How soon are looking sell a small percentage of your future sales?

First Name *

Last Name

UPLOAD ID *

Mobile Phone *

Email *

How did you hear about us?

PLEASE NOTE: I consent to receiving text messages and phone calls from Vital Cash Flow. Message and data rates may apply. Reply STOP to opt-out or HELP for help on any message.

Business Information

Legal Business Name *

Do you do business under a different name? *

Yes

No

If yes please write other business names

Business Street Address *

Where is the business incorporated? *

Zip Code *

Business Phone Number *

What year did you start your business? *

Legal Entity Type *

Do you currently have other short-term financing? *

Yes

No

If yes please list other finance company names and balances

Business Tax ID *

Estimated Gross Annual Revenue *

Average Bank Balance *

Upload Bank Statement PDF - Most Recent Month *

Upload Bank Statement PDF - 2nd Most Recent Month *

Upload Bank Statement PDF - 3rd Most Recent Month *

Merchant Statement PDF - Most Recent Month

Upload Voided Check *

Your Information

Zip Code *

Home Address *

Date of birth *

Home Phone

How much of the business do you own? *

Does your business have an individual with significant responsibility for managing the legal entity other than you?

Examples include an executive officer or senior manager (eg. CEO, CFO, COO, Managing Partner, Partner, President, VP or Treasurer), or any other individual who regularly performs similar functions *

Yes

No

Please list the names of the other persons

Social Security Number

We will use your Social Security Number to help confirm your identity and conduct a credit inquiry. *

How did you find out about us? *

Application, Credit Profile, and E-sign Consent Agreement

By checking this box, you confirm that: *

(1) You have the authority as an owner, principal, or decision-maker for the business. (2) All information and documents submitted with this application are accurate and complete. (3) You grant permission for Vital Cash Flow, its agents, partners, affiliates, and lenders to obtain credit reports and other relevant information about the Merchant and its owners and principals from third parties to verify the provided information. You also agree to receive marketing and other information via phone, text, or email from or on behalf of Vital Cash Flow using the contact information provided, both now and in the future. This consent is not a condition for any purchase or funding decision, and you acknowledge that you have read and agreed to Vital Cash Flow's Application, Credit Profile, and E-sign Consent Agreement.

Signature *

Clear

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Questions?

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*We pay for traffic through a small menu market. There is no cost to the restaurant. Vital Cash Flow provides education and technology. All business decisions and outcomes are self-directed by the restaurant owner.