Save & Return

Use an account to return to saved work.

Business Information

Legal company name *

Tax ID number 🛈

Entity type *

State filed/organized *

Business street address *

City *

State *

Zip/Postal Code *

Primary phone number *

Is this a mobile number? *

Yes

No

Additional phone number

Is this a mobile number? *

Yes

No

Preferred email address *

Company website

Industry *

Towing

Trucking

Food Processing

Other Other

Year current ownership began *

Month *

Funding type requested *

Funding amount *

How many guarantors (business owners)? * 🛈

1

2

3

Corp Only

Annual gross revenue 🛈

Upload copies of your bank statements for the last 3 months. (You can do this later if you prefer.)

How did you hear about CapX Funding?

Who? *

Which one? *

Other *

Owner's information on next page >>

Equipment details on next page >>

Primary owner's information on next page >>