Short-Term Business Loans

Merchant Cash Advance Application

Business Registration Name

Industry Type

Monthly Turnover (R)

Unit/Street Number

Street Name

Suburb

Province

Post Code

Business Mobile

Business Email

Loan Purpose

First Name

Last Name

ID Number (13 digits)

Position

Ownership %

Owner Mobile (10 digits)

Landlord Name

Landlord Mobile

Landlord Email

Monthly Rent (R)

Amount Owing (R)

Lease Start Date

Lease End Date

Registration Number

Asset 1 Name

Value (R)

Owing (R)

Asset 2 Name

Value (R)

Owing (R)

Asset 3 Name

Value (R)

Owing (R)

Current Supplier Statements

ID Copies (Directors)

CIPC Documents

Lease Agreement / Municipal Bill

12 Months Bank Statements

VAT Statements

Declarant Signature (PNG/JPG)

Declarant Full Name

Declarant ID Number (13 digits)

Declarant Capacity

I consent to a credit check and confirm all information is accurate.

Cash for your business when
you need it most.

Merchant Cash Advance Application

Application Submitted!