FreedomPath: The Future of Financial Services

Business Information

Business Legal Name

Business Tax ID Number

DBA or Trade Name

Business Phone Number

Business Website

Contact Email

Business Type

Is this Business Seasonal?

Annual Gross Sales / Revenue

Business Address

Business City

Business State

Business Zip

Business Property Status

Date Business Establish / Start

Business Property Payment

State of Organization

Description of Business

Business Owner Information

First Name

Last Name

Social Security Number

Date of Birth

Cell Phone Number

Personal Property Payment

Personal Residence Address

City

State

Postal Code

Time Living There

Personal Property Status

Percentage of Ownership

Loan Amount Requested

Purpose of Funds

Bankruptcy Status

Estimated Credit Score

Any outstanding loans / advances?

Applicant Certification

By signing below, each of the above listed businesses and officers/owners (individually and collectively, "Applicant”) certify that you are authorized to sign on behalf of the named business, all information and supporting documentation submitted with this application are true, correct and complete, and all such information may be relied upon by Freedom Financial Plus LLC DBA Freedom Funding (“Freedom”) and the Recipients (defined below). You hereby authorize Freedom and each of its representatives, successors, assigns, designees and third-party funding partners, which includes lenders and other finance providers with whom Freedom has, or may in the future enter into, commercial-brokerage-financing relationships (“Recipients”): (1) to obtain consumer or personal, business and investigative reports and other information about you, including hard and/or soft credit pulls, from one or more consumer reporting agencies, such as TransUnion, Experian and Equifax; (2) to obtain credit card processor statements and bank statements from banks, creditors and other third parties; (3) to obtain the release, by any creditor or financial institution, of any information relating to you, to any Recipients; (4) to transmit this application form, along with any of the foregoing information obtained in connection with this application, to any or all Recipients for the foregoing purposes; and (5) to contact you via e-mail, call and/or text-message at the e-mail address and/or phone number provided above, or at any e-mail address and/or phone number reasonably identified as belonging to you, including wireless numbers (if applicable), even if listed on a Do-Not-Call registry, using an automated telephone dialing system or other similar system with respect to this application, future-related commercial-financing opportunities and/or other lawful telemarketing purposes. You further certify that should any of the foregoing information change, to the extent within your knowledge, that you will promptly notify Freedom of such changes. A copy of this authorization may be accepted as an original whether sent via email or facsimile.

Signature

Your Broker: Adams EZ Tax LLC

Adams EZ Tax LLC

Adams EZ Tax LLC

Business Information

Business Owner Information

Applicant Certification