Apply for Business Funding | Clearwater Capital

1

Business Information

Tell us about your business

Legal Business Name *

DBA / Trade Name

Entity Type *

Business Address *

City *

State *

ZIP *

Business Phone *

Business Email *

EIN / Tax ID *

Date Established *

Industry *

Number of Employees

2

Financial Information

Help us understand your funding needs

Average Monthly Revenue *

Amount Requested *

Use of Funds *

Current Cash Advance Positions

Business Bank Name *

Do You Accept Credit Cards? *

Business Location *

Monthly Rent / Mortgage

Upload Bank Statements (4 Most Recent Months)

Upload your most recent 4 months of complete business bank statements (all pages). Must be up to date. PDF or images accepted. Max 15MB per file.

Click to upload bank statements

PDF, JPG, or PNG

You can also email statements to cjan@clearwatercapitalgrp.com after submitting.

3

Owner / Guarantor

Primary owner or authorized signer

First Name *

Last Name *

Title *

Ownership % *

Cell Phone *

Email *

Date of Birth *

Social Security Number *

Home Address *

City *

State *

ZIP *

Estimated Credit Score

Add a second owner or partner

4

Authorization & Signature

Review terms and sign to complete

By signing below, I certify that all information provided in this application is true and correct. I authorize Clearwater Capital Group and its funding partners to:

Verify the information provided in this application
Obtain credit reports and background checks on all owners listed
Contact references, banks, and other financial institutions
Share this application with potential funding sources

I understand that this is an application only and does not guarantee funding. I agree to provide bank statements and any additional documentation requested.

Your Signature *

4/2/2026