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Application Form
Ownership/Principle Information
Business References
2 Trade References
Landlord/Mortgage Contact Information
Funding Information
By “signing” (checking Yes) the business owners/principals: 1.) certify that all information and documentation in connection with this Application is true, correct and complete; and 2.) authorize American Stimulus Funding, its partners and lenders to receive credit reports and any other information regarding the Business and its owners and principals from third parties, to verify any information provided on the Application.