Interim Capital Application

Step 1 of 4 - Basic Information

This application is required for Interim Capital, including Business Loans, Business Lines of Credit, and Revenue-Based Financings.

Our simple interim capital application takes you through 3 easy pages to gather information about you, your business, and the business performance. It then allows you to upload copies of the documents required to apply.

It generally takes between 5 and 10 minutes to complete. There are no fees and no obligations to apply. And, applying for business financing with i95 Capital will not affect your personal credit score. Apply now below for super fast processing!

Of course, any questions, at any time, simply contact us. We are always happy to assist. Really!

* All fields are required
Unique ID
Name*
First Last
Email*
Password*
Enter Password Confirm Password

Between 8–30 characters, and should include both upper and lower case letters, at least one number, and at least one symbol or special character.
Phone*
How did you hear about us?*
Affiliate ID
Enter the Affiliate’s 6-digit Identification
Other*
Funding Amount Requested*
Term Requested
Financing Requested*
How soon will you use the financing?*
Use of Funds*
Note: Your business is applying for credit and not for a specific credit product, amount, or term. Any credit offered will depend on the credit and underwriting standards of the lender.

Almost halfway there, but remember: Any questions, at any time, simply contact us. We are always happy to assist. Really!
Business Information
Legal Business Name*
DBA (if different)
Business Address*
Business City*
Business State*
Business Zip Code*
Business Country*
Business Phone*
Business Website
Legal Entity Type*
State of Incorporation*
Business Start Date*

Use the dropdown date picker
Business Tax ID*
Is the business in active bankruptcy?*
Industry*
Business Financial Information
Estimated Gross Annual Revenues*
Average Bank Balance*
Do you currently have other short-term financings?*
Lender's Name*
Remaining Balance*

Update your documents, click the Submit button, and you are done!

* Required Documents
Attachments
Bank Statements
Upload bank statement #1*
Max. file size: 2 GB.
Month*
Year*
Upload bank statement #2*
Max. file size: 2 GB.
Month*
Year*
Upload bank statement #3*
Max. file size: 2 GB.
Month*
Year*
Drivers License
Upload Drivers License*
Max. file size: 2 GB.
Drivers License State*
Drivers License Expiration Date*

Use dropdown date picker
Drivers License Number*
Voided Check
Upload voided check*
Max. file size: 2 GB.
Optional Documents
Business taxes
- Last year's business taxes
Year*
Last year's busines taxes*
Max. file size: 2 GB.
PS1
- Processing Statement 1
Processing Statement 1*
Max. file size: 2 GB.
Month*
Year*
PS2
- Processing Statement 2
Processing Statement 2*
Max. file size: 2 GB.
Month*
Year*
PS3
- Processing Statement 3
Processing Statement 1*
Max. file size: 2 GB.
Month*
Year*
By submitting this application and entering your name below, you (i) authorize Number72 LLC (i95Capital.com) and its lending partners to use any credit bureau or business service to verify the information you provided; (ii) consent to receiving calls from Number72 LLC at the telephone number provided above, even if that number is listed on a state, federal, or corporate Do-Not-Call registry; (iii) acknowledge that you are not required to provide this consent as a condition of receiving any credit or services from Number72 LLC, and that you may apply for financing by contacting us directly; (iv) agree to Number72 LLC's Terms and Conditions; and (v) confirm that you have read Number72 LLC's Privacy Policy.
Applicant's Full Name*
Date*