Step 1 of 4

Basic Information

Step 1 of 4

Let's start with your contact information

We'll use this to reach you about your application. It takes about 5 minutes to complete.

Applicant

First name *

Enter your first name

Last name *

Enter your last name

Email *

Enter a valid email

Mobile phone *

Enter a 10-digit phone

By checking this box, I consent to receive updates by text/email from Delta Capital Group. These updates include routine service reminders, recommendations for future services, and special promotional offers. Message frequency varies. Msg & data rates may apply. Text HELP for assistance, reply STOP to opt out.

Please agree to continue

Please complete the verification to continue

Step 2 of 4

Tell us about your business

Provide the essential details about your company so we can match you with the right offer.

Business details

Legal business name *

Enter your legal business name

DBA / Doing business as (optional)

Federal Tax ID (EIN) *

Enter a 9-digit EIN

Website (optional)

Business address

Street address *

Enter the business street address

City *

Required

State *

Required

ZIP *

5 digits

Funding & operations

Amount requested *

Enter an amount

Average monthly revenue *

Enter your monthly revenue

Date business started *

Enter the start date

Businesses must be operating 6+ monthsto qualify. Reach out once you hit that milestone and we'll be glad to help.

Legal entity *

Select your entity type

Business location *

StorefrontOfficeHomeOther

Select a location type

Step 3 of 4

About the owner(s)

This information is used to verify identity and run a softcredit check — it will not affect the owner's credit score.

Principal owner

First name *

Required

Last name *

Required

Home address *

Enter the owner's home address

City *

Required

State *

Required

ZIP *

5 digits

SSN *

Format 123-45-6789

Date of birth *

Owner must be 18+

Ownership % *

1–100

Own 50% or less? The co-owner section opens automatically below.

Because you own 50% or less, please add the second owner.

First name *

Required

Last name *

Required

Email *

Valid email required

Mobile phone *

10-digit phone

Home address *

Required

City *

Required

State *

Required

ZIP *

5 digits

SSN *

Format 123-45-6789

Date of birth *

Must be 18+

Ownership % *

1–100

Authorization & signature

By signing below, the Merchant and each of its owners/principals: (1) certify that all information and documents submitted in connection with this application are true, correct and complete and all such information may be relied upon by Delta Capital Group and Recipients (defined below); and (2)authorize Delta Capital Group, and each of its agents, partners, successors, assigns, designees as well as third party financial institutions and their funding partners, which includes but is not limited to finance providers with whom Delta Capital Group has or may in the future enter into, commercial brokerage-financing relationships (collectively "Recipients") to investigate Merchant's and each of its owner's/principal's financial, business and personal credit histories, including by obtaining and reviewing credit reports from one or more consumer reporting agencies such as TransUnion, Experian and Equifax, and to obtaining other relevant information from other third parties, to verify any information provided with this application; and (3) Merchant authorizes Delta Capital Group to transmit this Application, along with any of the foregoing information obtained in connection with this application, to any or all of the recipients for the foregoing purposes. You also authorize the release, by any creditor or financial institution, of any information relating to you to any recipients; and (4) consent to be contacted 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.

I have read and agree to the authorization above, and I am authorized to sign on behalf of the business. *

You must agree to the authorization

Owner 1 Signature

Please type or draw your signature below

Full Name *

Type your full legal name

Type above or draw here

Step 4 of 4

Upload your documents

A few recent statements let us move fast on your approval. Everything is encrypted and used only for underwriting.

Required for approvalBank statements — last 3 months

Optional — speeds up approval

▤Current month's transactions (MTD printout)
▤ EIN letter or proof of ownership
▤ Extended bank records (up to 6 months)
▤Driver's license
▤ Voided check

Drop files here or click to uploadPDF, JPG, PNG, DOC, XLS · up to 25 MB each

Please add at least one bank statement to continue

Application received

Thank you for applying with Delta Capital Group. A funding specialist will review your file and reach out — typically within one business day.

Reference number

—

Keep this number for your records. We've noted your contact details and will follow up shortly.