Application – Poseidon Financial Network

Find out what you qualify for today!

Simply fill out this application, and we will present your options today.

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Step 1 of 3

First name:*

Last name:*

Phone number:*

Email:*

By continuing with this form, you agree to allow us to contact you via text, phone calls, or email regarding our products and services. Standard message and data rates may apply. You can opt-out of these communications at any time by informing us during a call, replying STOP to any SMS message, or unsubscribing from emails. Your contact information will not be shared with third parties or affiliates for marketing or promotional purposes.

Company Name:*

DBA:

Physical Address:*

City:*

State:*

ZIP:*

Is mailing address same as physical address?*

Yes

Mailing Address:*

City:*

State:*

ZIP:*

When was the business founded?*

Length of Ownership?*

State of Incorporation?*

FEIN / Tax ID:*

Entity Type:*

Business Category / Industry:*

Product/service sold:*

Gross Annual Sales:*

Average Monthly Deposits:*

Do you currently have any financing/loans?*

Yes

What is your outstanding balance?*

How much would you like to borrow?*

When do you need the money?*

Are you the sole owner?

Yes

Owner's First Name*

Owner's Last Name*

Home Address:*

City:*

State:*

ZIP code:*

Cell phone number:*

Email:*

Date of Birth:*

SSN:*

Ownership %?*

FICO Score:*

2nd Owner's First Name*

2nd Owner's Last Name*

2nd Owner's Home Address:*

2nd Owner's City:*

2nd Owner's State:*

2nd Owner's ZIP code:*

2nd Owner's Cell phone number:*

2nd Owner's Date of Birth:*

2nd Owner's SSN:*

2nd Owner's Ownership %?*

2nd Owner's FICO Score:*

Signature*

Date*

2nd Owner's Signature*

Date*

Comments

This field is for validation purposes and should be left unchanged.