BUSINESS APPLICANTS ONLY
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Last: First: Middle Initial: |
Title |
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Name of Business: |
Tax I.D. Number |
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Address: |
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City: State: ZIP: Phone: |
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Applicant Social Security #: Date of Birth: Mother’s Maiden Name: |
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Type of Business: In Business Since: |
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Legal Form Under Which Business Operates: State/Province: Corporation ð LLC ð Partnership ð Proprietorship ð Non-profit ð |
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If Division/Subsidiary, Name of Parent Company: In Business Since: |
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Name of Company Principal Responsible for Business Transactions: Title: |
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Address: City: State: ZIP: Phone: |
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Name of Company Principal Responsible for Business Transactions: Title: |
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Address: City: State: ZIP: Phone: |
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Institution Name:
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Institution Name: |
Institution Name: |
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Checking Account #:
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Savings Account #: |
Home Equity Loan: |
Loan Balance: |
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Address: |
Address: |
Address: |
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Phone: |
Phone: |
Phone: |
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Company Name: |
Company Name: |
Company Name: |
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Contact Name: |
Contact Name: |
Contact Name: |
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Address: |
Address: |
Address: |
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Phone: |
Phone: |
Phone: |
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Account Opened Since: |
Account Opened Since: |
Account Opened Since: |
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Current Balance: |
Current Balance: |
Current Balance: |
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Company Total
Assets
Company Total Liabilities Annual Net Income |
Amount of Credit
Requested:
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Have you or your officers or affiliates ever filed a petition in bankruptcy? Yes ð No ð |
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Is your company subject to any litigation? Yes ð No ð If so, describe: |
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* If new broker is
applying for a loan or line of credit (at the same time) he/she is registering
as an annual broker; provide your application fee of $1,895.00 plus your personal
credit report fee of $85.00 (totaling $1,980.00 due with this application and your
annual participation fee as elected for immediate processing. Please allow
a minimum of 3-5 business days for processing of all funding requests and for
you to be notified of your funding status.
Annual
Participation Level:
(Circle or indicate your annual payout participation level.)
< IF ALREADY PAID, JUST
INDICATE YOUR ACTIVE PARTICIPATION LEVEL. >
ð
2%,
$1,895.00* ð
3%,
$2,895.00 ð
5%,
$4,895.00 ð
10%,
$5,995.00
ð
25%,
$7,995.00
ð
50%,
$10,500.00
ð
50% Partner,
POSITIONS FILLED
ð
50% Partner -
Real Estate Professional,
$15,995.00
* 2%
program requires a standard application fee of $895.00 and a tri-merge
credit report with application.
All
Brokers can pay here and start right now. We will forward you all
startup information immediately when new
broker's payment has been
received and verified by our Accounting
Offices.
I understand that I must make the annual
participation buy-in level payment each year that I renew my annual brokering
business with Artistic! Capital Corporation. I understand that the 50% Partner
Program is for individuals who can maintain a minimum monthly sales volume of
$1,000,000.00 or more on funding leads submitted to agency. Applicant(s)
applying for 50% Partnership will be paid at 50% of the total funding amount
charged to client that is received by Agency as a profit, whereas 50% ($10,500.00
program) is paid out at 50% of the bottom-line costs paid to agency once all
deductions, charges, fees, and discounts have been applied. I understand that
should I not meet my monthly minimum a standard quota of Five (5) qualifying
clients must be submitted for my active status to remain with this agency. I
understand that as a 50% broker, 50% partner, and/or any affiliated Real Estate
Professional that I must forward a minimum of Five (5) new client applications
each month and/or provide agency with a minimum of Five (5) new broker
registrants each month, and/or I must signup a minimum of Five (5) Real Estate
Professionals into this organization to meet my monthly "active" account status
up to a Maximum Amount of Ten (10) per month. I understand that based on my
monthly volume that consideration will be given to my total volume submitted
that was approved and processed and my minimum requirements for sending
referrals may not be a contributor when I have met my minimum monthly volume
requirements. I understand that to advance into the 75%-100% Broker's
Program that I must have been recommended to do so by an Officer of Artistic!
Capital Corporation and no other. I understand that I may choose from the 3% -
50% Buy-in levels and I shall be paid based on the participation level in which
I have submitted my application.
I understand that in order to actively work as an Independent Representative,
and/or a Broker or Real Estate Professional registered with this agency that I
cannot submit client(s), applications, and/or consider myself and/or my business
for funding services, credit programs, credit file enhancements, aged
corporations, and/or any other credit related program, product or service
offered by this agency if I have not accepted this application and submitted it
with my annual participation fee as required. I understand that any and/or all
considerations to this application will be denied, forfeited, not considered,
and/or denied immediately should I submit this application without its selected
annual participation fee that I have chosen to elect. I understand that if I do
not wish to participate in the annual Brokers Program that I will be considered
a referral consultant and will be paid $100.00 to $500.00 on each and every
referral, lead and/or orgination that I submit to this agency for
consideration. If accepted I will be paid only when the client I've referred
has received their funding. If I am referring clients who have selected credit
file services, credit enhancement services, and/or aged corporation services, I
understand that I will be paid immediately when my client has made payment to
the agency and all funds have been verified and cleared. I understand that all
payments are made weekly to me and will be forwarded on Fridays to subsidize the
account that I have been assigned.
We declare that the above information is true,
correct and complete and is given to enforce the purpose for Artistic! Capital
Corporation to extend a placement request for credit as a commissioner should I
or my business request funding with this application. If not, I understand that
I may apply for funding at anytime by submitting my request to Artistic! Capital
Corporation. I confirm that I will not be paid for any funding transactions
processed for myself or my business, and I agree to pay to Artistic! Capital
Corporation its standard agency fee of 16.9% on all funding transactions secured
on my behalf up to $100,000. Any amount over and above, $101,000.00 I realize
that I will be billed out at 18.9% immediately as outlined in the Agency's
Commitment Agreement, which I will be required to sign upon my funding request.
I understand that should I meet my minimum monthly sales volume, that if I am
applying for funding placement for myself and/or my business that I shall
receive 50% OFF the total amount required to process my funding placement
application with Artistic! Capital Corporation; but I shall remain responsible
for all proceeds, agency fees, placements/services allotted upon final approval
and disbursement of my funds from any lender, financial service, or third party funder associated, affiliated, and/or placed by Artistic! Capital Corporation.
We authorize Artistic! Capital Corporation to make such credit investigation as
the Company sees fit, including contacting the above trade references and banks
and obtaining credit reports. I understand that I may waive the personal credit
report fee if I am providing to agency my recent credit report not more than
thirty (30) days old. If I have not provided my personal credit report, the
$85.00 fee cannot be waived and must be returned with my application for
immediate review and consideration. I understand this fee does not apply to me
if I am electing not to apply for funding with this submittal. I
understand that I may download and purchase a less expensive personal credit
report from the website of the agency by visiting their corporate website at:
http://www.artistic-capitalcorp.com/CREDIT-REPORTS.htm. We
authorize all trade references, banks and credit reporting agencies to disclose
to the Company any and all information concerning the financial and credit
history of my company and myself should I be requesting funding services with my
application when submitted to the agency.
I understand that a copy of my Driver's License (enlarged copy) must be attached
to this documentation and it must be clear, legible and readable without dark
impressions and submitted immediately with my payment selected for this
application to be considered favorably. I understand that I will be notified of
my account status and the approval or decline of my application within
twenty-four (24) hours; as well as I understand that a Welcome Packet, Startup
Materials shall arrive if I am approved by Priority Mail and/or by Fax
transmission if I am eager to begin sending my client applications and/or
requesting the services of this agency. I understand that I shall not
circumvent on applications that may or may not be submitted by other Brokers or
affiliates with this agency, as well as I will not process applications without
confirming and verifying the information provided to the agency. I also
understand that the Notary Public Signature section below must be returned
completed before my application will be accepted. I agree to sign before
Notary Public and return immediately with my Cashier's Check payment, US Postal
Service Money Order payment, or as instructed.
All broker commission checks shall be
made payable to the business named below. Please return
a copy of your Business License, Certificate and/or your validation that your
business is in good
standing.
I have read the terms and conditions stated
above and agree to all of the terms and conditions.
Name of Company: Telephone #: (with area code) __________________
Authorized Signature:
FAX #: (with area code) _______________________
Title:
Email Address: __________________________________________
Printed Name:
Driver's License #: ___________________________
Social Security #: ___________________________ State Issuing Driver's License: ________________
Business D&B #: ____________________________ Driver's
License Expiration Date: ______________
Date of Birth: ________ Business Start Date: ________ Date
of Inc.: ______ State Inc.: ____________
Partner's Signature (Required) if there is at least 20% or more of Ownership in
the Company listed above.
Authorized Partner Signature:
DATE:
|
TOTAL ENCLOSED |
$ |
| HOW PAID? (Cashier's Check, Money Order, Bank Wire Transfer, Personal or Business Check) |
* Please note that all Personal and Business
Checks shall be held for 10 days to
ensure that they are paid by your financial institution. We reserve the right
to
charge a $100.00 return check fee on all dishonored checks, and will prosecute
all bad-check writers.
* Be sure to attach your Driver's License, a copy of your Business License or
your
Certificate, and return with this application completed, your payment and
all
processing fees; along with your tri-merge personal credit report showing
all credit
and all three (3) fico scores.
Click Here To
Purchase Your Credit Report Online.
Return
Instructions:
By FAX: 1-866-RTISTIC! (1-866-784-7842) or if busy use Fax #:
1-888-886-0058 24 hours per day, 7 days per week.
By Email:
If emailing, please put in .pdf file format before sending. If this function is
not available to you, please do
not return by email. (Send by Priority, Express, or
Overnight next-day airmail delivery.)
By Bank Wire Transfer: You can request our bank wiring instructions upon
our receipt and verification of your online
application. To make your payment by Bank Wire Transfer, please include our
$275.00 Bank Wire Fee to your total
when sending your payment. When bank wire has been completed, fax a copy of
your Bank Confirmation Form to us
at: 1-866-RTISTIC! (1-866-784-7842) 24 hours per day, 7 days per week for
immediate Account Setup / Activation. To
request our Bank Wiring Instructions, send your confidential email inquiry to:
bankwires@artistic-capitalcorp.com or if
no reply email to:
artistic_capitalcorp@yahoo.com for fastest replies to your inquiries.
If you have questions,
send an email to:
broker-signups@artistic-capitalcorp.com
By
Overnight:
ARTISTIC! CAPITAL CORP.
ATTN: ANNUAL BROKER PROGRAM
1940 DEER PARK AVE., STE. 254
DEER PARK, NY
11729-3328
** FOR OFFICE USE ONLY **
DATE RECEIVED: _______________ ACCOUNT #:
_________________________________
PAYOUT AMOUNT: ______________ BUSINESS TYPE:
______________________________
EFFECTIVE FROM: _______________ 20______ THRU
_________________________ 20______.
PAYMENT METHOD RECEIVED:
ð
2%,
$1,895.00* ð
3%,
$2,895.00 ð
5%,
$4,895.00 ð
10%,
$5,995.00
ð
25%,
$7,995.00
ð
50%,
$10,500.00 ð
50% Partner -
Real Estate Professional,
$15,995.00
_____ * 2%
program requires a standard application fee of $895.00 and a tri-merge
credit.
Approved By: ____________________________________________
Department:
______________________ Date: ________________
© Copyright 2004 ARTISTIC!
CAPITAL CORPORATION, ALL RIGHTS RESERVED.