Home Application

Application

Please complete this application to apply for funding from Forest Capital.  Additional documents are required and your application will not be considered complete until we receive all supporting documents.  We prefer you attach PDF or MS Word formats only when prompted below, but you may also email the documents to This e-mail address is being protected from spambots. You need JavaScript enabled to view it , fax 443-927-7517, or mail Post Office Box 978, Brooklandville, Maryland 21022, as well.  If you have any questions, please do not hesitate to Contact Us.  We look forward to working with you!


(*) Required information. Page 1 of 9.

Referred by

Please type in the name of the person you were referred by.
Legal name of Company (DBA, if applicable) (*)

Please type in your company name.
List all DBAs (leave "None," if none) (*)

Please type in your DBAs.


(*) Required information. Page 2 of 9.

Address (*)

Please type your address.
City, State, Zip (*)

Please type your city, state, and zip.
Email address (*)

Please type in a valid email address.
Website address

Please type in your company's website address.
Phone number (*)

Please type your phone number.
Fax number

Please type your fax number.


(*) Required information. Page 3 of 9.

Federal tax ID number (*)

Please type your FEIN.
Company Type (*)

Please specify your company type.
Describe type of business (*)

Please describe your business type.
Date business started (mm/dd/yyyy) (*)

Please select the date your business started.
State of incorporation

Please type in the state where your company incorporated.
Number of employees

Please tell us how many employees your company has.


(*) Required information. Page 4 of 9.

Have you ever factored your receivables? (*)

Please specify yes or no.
If "Yes," with whom?

Please type who you have factored with before.
Annuals sales volume in dollars (*)

Please type in your annual sales volume in dollars.
Average monthly sales volume in dollars (*)

Please type in your average monthly sales volume in dollars.
Amount you wish to factor monthly in dollars (*)

Please type in the amount you wish to factor monthly in dollars.
Outstanding receivables as of today in dollars (*)

Please type in the amount you have in outstanding receivables as of today in dollars.
Profit margin percentage

Please type in your company's profit margin percentage.
Turnover days of accounts receivable

Please type in the number of days of your accounts receivable.


(*) Required information. Page 5 of 9.

Does the applicant or principals have any of the following: (select all that apply) (*)

Please select an option.
Do you have any court ordered payment programs either personally or for your business? (*)

Please specify yes or no.
Do you have any outstanding loans? (*)

Please specify yes or no.
If "Yes," with whom?

Please type who you have outstanding loans with.
If "Yes," balance owed in dollars

Please type in the balance owed in dollars.
Are receivables pledged as collateral? (*)

Please specify yes or no.
If "Yes," please explain.

Please explain.


(*) Required information. Page 6 of 9.

Officer Full Name / Title (*)

Please type in officer full name and title.
Owner? (*)

Please specify yes or no.
Officer Full Name / Title

Please type in officer full name and title.
Owner?

Please specify yes or no.
Officer Full Name / Title

Please type in officer full name and title.
Owner?

Please specify yes or no.



Owner address (*)

Please type owner address.
Owner City, State, Zip (*)

Please type owner city, state, and zip.
Owner home phone (*)

Please type owner home number.
Owner cell phone

Please type owner cell number.
Owner email address (*)

Please type in a valid owner email address.
Percentage of ownership (*)

Please type in owner's percentage of ownership.


(*) Required information. Page 7 of 9.


Please list your company's two (2) largest customers that you wish to factor. Customers will not be initially contacted.

1. Company name

Please type in first company name.
City, State, Zip

Please type first company's city, state, and zip.
Phone number

Please type in first company's phone number.
Monthly sales in dollars

Please type in first company's monthly sales in dollars.
Average invoice in dollars

Please type in first company's average invoice in dollars.



2. Company name

Please type in second company name.
City, State, Zip

Please type second company's city, state, and zip.
Phone number

Please type in second company's phone number.
Monthly sales in dollars

Please type in second company's monthly sales in dollars.
Average invoice in dollars

Please type in second company's average invoice in dollars.


(*) Required information. Page 8 of 9.


Please attach the following:

Attach Articles of Incorporation

Please attach your company's Articles of Incorporation.
Attach Good Standing Certificate

Please attach your company's Good Standing Certificate.
Attach Court Order for any payment programs

Please attach court order.
Financial statement for last year

Please attach financial statement for last year.
Financial statement for current year to date

Please attach financial statement for current year to date.
Aging of accounts receivable and payable

Please attach aging of accounts receivable and payable
Personal financial statements of principals

Please attach personal financial statements of principals.


(*) Required information. Page 9 of 9.


The foregoing information is true and correct to the best knowledge of the undersigned company and individual(s) and is given to Forest Capital LLC by the undersigned Company and individual(s) to initiate Forest Capital LLC’s consideration to enter into a factoring agreement with this company. The undersigned company and individual authorize Forest Capital LLC and/or its agents to investigate and verify, in any way it chooses, any or all of the forgoing statements, including but not limited to the credit-worthiness and financial responsibility of the undersigned company and individual(s). The undersigned company and individual(s) grant Forest Capital LLC the right to procure any and all credit reports it chooses pertaining to the undersigned company and individual(s) and specifically instructs any credit reporting agency, commercial or consumer, to provide any reports to Forest Capital LLC that it may request of it in reference to the undersigned company and/or individual(s). This authorization will be valid for two (2) years from the date below. A photocopy of this authorization will be as valid as the original.

Please sign this application by entering your full name, date, and title below. This will act as your signature.

Full Name (*)

Please type in your full name.
Title (*)

Please type in your title.
Date (mm/dd/yyyy) (*)

Please enter the date of application.

It may take a little time to completely transmit your application, especially if your uploaded documents are large in size. Please be patient and wait for your confirmation before you browse away, or your application will be lost.




Client Access

Log Into Your Account

 Client Account Access
 
In the Spotlight

Supplier of Gourmet Teas to Retailers

Location:  California

$100,000
cfax.jpg

Copyright © 2010-2011. All Rights Reserved.