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Congratulations on your decision to apply for a cash advance from CMCA.

We will need the following Info please.

Business Start Date:
Business Phone Number: ______________ DBA Name: ___________________________
Contact Name: ______________________ Contact Telephone No: __________________
Requested advance amount: $ __________ Requested withholding percentage: ______ %
Intended use of proceeds:_____________________________________________________
Do you have an open cash advance: _____ Yes _____ No
If yes, with who? ______________________________
What is outstanding balance? ____________________

Name (printed): ________________________________________
Signature: ____________________________________________ Date: ______________
Home Address: ________________________________________

What to expect after submission of your complete and signed
• You will receive a verification call to obtain additional information, including:
• Most recent previous three to six months bank statements
• Mortgage statement / copy of lease
• Reviews are dependent on our ability to confirm information, but are typically completed
within 3-5 hours.
• Once we have completed our due diligence, you will receive a confirmation call.
• Your cash advance will be deposited to your bank account, usually within 2 business days
of approval and your execution of the merchant cash advance agreement.


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