ARTISTIC!'S LOAN REQUEST FORM ... APPLY BY FAX 24 HOURS PER DAY, 7 DAYS PER WEEK!!

LOAN REQUEST FORM
Merchant Account Cash Advance ● Businesses - $10,000 to $50,000

If you have an American Express Account number, have not ever been delinquent or pastdue, or you have a Zero (0) balance with this lender, and your account presently is in excellent standing; please provide your American Express Account number in order for our agency to expedite faster processing of an approval for your application.

Applicant confirms that the information contained in the LOAN REQUEST FORM is accurate, correct, and true to the best of his/her ability. Applicant understands that submittal of this form is not a guarantee of credit and/or an approval thereof, but constitutes the right of the Lender, its affiliates, assigns, and assessors to review, process, and/or consider an extension of credit to the Applicant whose signature appears below who meets standard pre-approval requirements for funding per the request indicated. Standard Application Fee of $595.00 is required to process this request for each applicant applying, and an $85.00 Credit Report Fee required for each applicant applying if you business is less than one (1) year's old. If you know your personal or business credit is not sufficient or if you have had judgements, tax-liens or other credit problems, your Standard Application Fee of $895.00 is required to process this request. NO EXCEPTIONS. (Make all payments by Cashier’s Check and/or Money Order to: ARTISTIC! CAPITAL CORPORATION and return to Broker who provided the form to applicant or use instructions provided below for returning your request.) If paying online, see instructions below.

To pay application fee and personal credit report fee; CLICK HERE and pay online. (Bill your payment to our email address: artisticapital.corporateoffices@verizon.net) If you are unsure of your personal credit score, pay only your $85.00 personal credit report fee, and we will notify you should you meet our minimum requirements for approval. (When notified, you will be billed your application acceptance fee of $595.00 or $895.00 to process your request should we determine your personal or business credit is not sufficient for any reason or your Merchant Account Processing Statements do not meet minimum requirements for processing.) When finished submitting your payment, print out this form and fax it immediately to: 1-866-784-7842 (24 hours per day, 7 days per week). The Broker submitting this request will notify you immediately of your approval and the amount you have pre-qualified for. All application and processing fees are NON-REFUNDABLE. You agree to pay Artistic! Capital Corporation an agency fee of Twelve Point Five Percent (12.5%) at the time you receive your Business Cash Advance disbursement from any of our participating lenders. To ensure the approval on your application, please make certain that your personal Fico Score is at least 690-950 and that your monthly credit card statements are at least a minimum of $5,000.00 or an average of at least $10,000.00 or more. If less, you may still apply by returning a copy of at least Six (6) of your most recent Merchant Credit Card Statements to ensure your immediate approval amount. You will be notified immediately as to the amount in which you are qualified for your Business Cash Advance Line of Credit. Standard Processing time for all applications or loan/line requests is 24-48 hours from the date your request is paid and application received.

APPLICANT SIGNATURE__________________________________________________

DATE_______________

CO-SIGNERS, PERSONAL GUARANTORS
& SECONDARY APPLICANT'S
If personal guarantor, co-signer or secondary applicant; please provide information below to be considered a responsible party to this application. You will be notified if you are approved as a Co-Signer for your applicant before processing this request for funding.

Co-Signer Name: ____________________________________________

Address: ___________________________________________________

City, State, Zip Code: _________________________________________

MOTHER'S MAIDEN NAME: _________________________________

Date of Birth: _____________ Social Security #: ___________________

(CO-APPLICANT)

SIGNATURE_____________________________________________

DATE_______________

If a Business, additional Officers signatures are required below:
*Personal Credit Report Fee Required For Each Person Applying If Credit Problems Exist.
*Application Processing Fee Required For All Signers Making Request.

Officer's Signature SS#: ___________________ DOB: ____________

Home Address: ________________________________
City, State, Zip Code: ___________________________
MOTHER'S MAIDEN NAME: ___________________

RETURN THIS FORM BY EMAIL AND/OR FAX TO:
1-866-784-7842 (FAX 24 hours per day, 7 days per week)
Mylia_Spencer@Yahoo.com or TaraCMichaels@Yahoo.com

FAX INSTRUCTIONS:
1. Complete form and fax to 1-866-784-7842.
2. Write out your payment check for your personal credit report and
     and your Application Fee, made payable to Artistic! Capital Corp.
     and fax with your application. * DO NOT VOID YOUR CHECK
3. You will be notified of the exact amount you are pre-approved for
     within 24-48 hours of our receiving your Loan Request Form and
     personal credit report payment.
4. If approved for funding, you are required to pay your Application
     Fee immediately in order to process your request.

DIRECTMAIL YOUR REQUEST:
1. Complete application in its entirety and return with your personal
     or business check as advised for your personal credit report fee.
2. Send by FEDEX, UPS, or Priority Mail, Next-Day Air Delivery
     or Priority Mail for immediate processing. We process requests
     by overnight services the fastest. (Regular Mail, will be processed
     in the order in which it was received.)
3. Overnight or Mail to:
                                         Artistic! Capital Corporation
                                         ATTN: PAQUITA FIGUEROA
                                        342 E. Jericho Tpke.
                                        Mineola, NY 11501-2111

HOW LONG EMPLOYED?	□ YEARS	□ MONTHS
FAX # WHERE YOU CAN RECEIVE CONFIDENTIAL INFORMATION?	FAX # 1	FAX # 2

BANKING INFORMATION:		TYPE OF ACCOUNT (BUSINESS/PERSONAL)
BANK NAME				ACCT. #
ADDRESS
CONTACT PERSON					PHONE #
CURRENT BALANCE $	$		AVG BALANCE $			$

TITLE

AMERICAN EXPRESS ACCOUNT #