Business funding application

Funding that works around your business.

Use this public form to share the business and funding information needed for an initial review. Do not enter a Social Security number, date of birth, bank or card account number, or driver’s-license image here.

Share the essentials

Tell us about your business

Review funding details

Primary contact

Primary contact nameTitle or roleBusiness emailMobile phone number

Business details

Legal business nameBusiness start dateBusiness entity typeBusiness industryTime in business

Funding request

Funding amount requestedAverage monthly revenueHow will the funds be used?Does the business have an existing advance or loan?Anything else our review team should know? (optional)

Applicant certification & authorization

I certify that the information in this application is complete and accurate to the best of my knowledge.I agree that Simple Company Loans may contact me about this request using the phone number and email address provided. Consent is not a condition of approval.

If we need Social Security numbers, dates of birth, driver’s-license images, or bank statements, provide them only after you sign in to your protected applicant portal. This public application is routed to our review team and is not the place for confidential identity or account information.