Online Funding Application

Application to enter into an Accounts Receivable Purchase Agreement

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Application To Enter Into Accounts Receivable Purchase Agreement

Please complete this online form. Additionally, please submit the following information via e-mail or fax to 201-944-9477: 1) most recent A/R and A/P aging reports (summary or detailed) 2) copy of Certificate of Incorporation 3) copy of principals driver’s license 4) copy of sample invoices 5) any additional information you would like to provide to assist Prestige Capital in evaluating your business for funding.

You can also DOWNLOAD our application and e-mail or fax it back to us at 201-944-9477. We’ll get you started ASAP.

PLEASE NOTE: Use the “tab” key to navigate from field to field. Use the “return” or “enter” button on your keyboard to continue onto the next step of the online application. Our application is four pages long and will take approximately 10-15 minutes to complete. In order to maintain confidentiality and security, the application will time out if left unattended. Please be sure to have all information pertaining to the Company’s Principals, Accountant, Attorney, Tax, Banking, and Accounts Receivable handy before you begin.
Page 1 of 4
Does company own real property?
Date Established
State in which company is incorporated


Principal 1

Name (Principal 1)
Date of Birth (Principal 1)
Home Address (Principal 1)
Home Type (Principal 1)
United States Citizen (Principal 1)

Principal 2

Name (Principal 2)
Date of Birth (Principal 2)
Home Address (Principal 2)
Home Type (Principal 2)
United States Citizen (Principal 2)

Principal 3

Name (Principal 3)
Date of Birth (Principal 3)
Home Address (Principal 3)
Home Type (Principal 3)
US Citizen (Principal 3)