Business Micro Application

Business Micro Application

Parties and Recitals

Applicant Name:   Provider Name:

WHEREAS:

WHEREAS, Applicant represents that it operates a business under the legal name noted above and seeks a micro loan or micro grant for working capital and business operations; and

WHEREAS, Provider is authorized to consider applications, evaluate creditworthiness, and make funds available subject to the terms set forth in this application and any subsequently executed agreement; and

WHEREAS, the parties desire to record the request, initial terms, and certifications contained herein as the basis for Provider's underwriting and decision-making process.

Business Information

Scope of Work / Use of Funds

Applicant must describe the specific use(s) for requested funds, business activities, and milestones to be achieved with proceeds.

Requested Amount and Payment Terms

Term and Termination

This application and any resulting funding shall be effective on Start Date and shall continue through End Date unless earlier terminated pursuant to the notice provisions below.

Either party may terminate consideration of this application or any resulting agreement for cause upon written notice. Notice Period (days):

Confidentiality

Each party acknowledges that during the application, underwriting, and funding process the other party may disclose confidential information. Applicant and Provider agree that Confidential Information shall be used solely for the purposes of evaluating and performing funding and related services, and that Confidential Information shall not be disclosed to third parties except to professional advisors and service providers who have a need to know and are bound by obligations of confidentiality no less restrictive than those herein. The obligations of confidentiality shall survive termination for a period of years.

Representations, Warranties and Certifications

Applicant certifies that all information provided in this application and any attachments is true, complete and accurate to the best of Applicant's knowledge. Applicant authorizes Provider to verify any information, obtain credit reports, and request third-party records necessary to evaluate this application. Applicant agrees to notify Provider promptly of any material change in financial condition or business operations.

Governing Law; Entire Agreement

This application, and any subsequent binding agreement executed by the parties, shall be governed by the laws of the state of without regard to conflict of law principles. This application contains the complete statement of the parties' understanding with respect to the subject matter hereof and supersedes all prior proposals, negotiations and agreements, whether written or oral. Any modification to a resulting agreement must be in writing and signed by authorized representatives of both parties.

Acknowledgment

By signing below, Applicant acknowledges and agrees that submission of this application is a request for underwriting and does not constitute a guarantee of funding. Provider's approval of funding is subject to Provider's internal policies, review of documentation, and any additional covenants or security interests agreed at the time of funding.

Certifications and Authorizations

The undersigned certifies under penalty of perjury that the information provided herein is true and complete. The undersigned further authorizes Provider to share application information with affiliates, counsel, and service providers for purposes of underwriting, servicing, and legal compliance.

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