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A Funding Specialist will reach out shortly.” submit_button_text=”Submit*” form_background_color=”#c9c9c9″ module_id=”et_pb_contact_form_0″ _builder_version=”3.17.2″ title_font=”|600|||||||” title_text_align=”center” title_text_color=”#007c12″ title_line_height=”1.3em” form_field_font=”|600|||||||” form_field_text_align=”left” form_field_text_color=”rgba(0,0,0,0.57)” form_field_font_size=”16px” form_field_line_height=”1.5em” custom_button=”on” button_text_size=”16px” button_text_color=”#ffffff” button_bg_color=”#007c12″ button_border_width=”9px” button_border_color=”rgba(0,0,0,0)” button_border_radius=”0px” button_font=”Josefin Sans|700||on|||||” button_use_icon=”off” max_width=”800%” max_width_phone=”100%” max_width_last_edited=”on|phone” module_alignment=”center” animation_style=”fold” animation_direction=”top” animation_intensity_fold=”10%” saved_tabs=”all” locked=”off” text_orientation=”center”][et_pb_contact_field field_id=”Business_Name” field_title=”Legal Business Name” 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field_id=”Home_Phone” field_title=”Home Phone” _builder_version=”3.17.2″ required_mark=”off”][/et_pb_contact_field][et_pb_contact_field field_id=”Percentage_Owned” field_title=”% Of Ownership” _builder_version=”3.17.2″][/et_pb_contact_field][et_pb_contact_field field_id=”Prior_Loan” field_title=”Have You Used A Cash Advance Plan Before?” field_type=”select” select_options=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ fullwidth_field=”on” _builder_version=”3.17.2″][/et_pb_contact_field][/et_pb_contact_form][et_pb_text _builder_version=”3.17.2″ text_font=”Montserrat||||||||” text_font_size=”11px”]
*By submitting above, the Merchant and its owners / principals: (1) certify that all information and documents submitted in connection with this Application is true, correct and complete; and (2) authorize Reliable LLC, its agents, partners, and lenders to receive credit reports and any other information regarding Merchant and its owners and principals from third parties, to verify any information provided on the Application.
The above provided information will be used to pull your Credit History.
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