Cub Capital Group Representative Name (if applicable):

Cub Capital Group Representative Email (if applicable):

Business Alias/DBA Name:

Company Website URL (if applicable):

Address

Street Address *

City *

State *

Country *

Postal Code *

Email *

Business Phone: *

Corporate Officer First Name: *

Corporate Officer Last Name: *

Corporate Officer Title: *

Ownership %: *

Corporate Officer Credit Score: *

Corporate Officer Date of birth: *

Cell Phone: *

Second Owner: *

Yes

No

Second Owner First Name: *

Second Owner Last Name: *

Second Owner Phone Number: *

Second Owner Email: *

Second Owner Title: *

Second Owner Street Address: *

Second Owner Street Address Line 2:

Second Owner City: *

Second Owner Zip Code: *

Second Owner %: *

Second Owner SSN: *

Second Owner Credit Score: *

Second Owner DOB: *

Please upload your most recent 4 months of business bank statements.

PDF

I agree the following:

By signing above, each of the above listed businesses and business owner/officer (individually

and collectively, "you") authorize Cub Capital Group LLC and each of its representatives, successors, assigns and designees ("Recipients") that may be involved with or acquire commercial business loans having daily/weekly repayment features or purchases of future receivables including Revenue-Based Financing transactions, including without limitation the application therefor (collectively, "Transactions") to obtain consumer and/or personal, business and investigative reports and other information about you, including credit card processor statements and bank statements, from one or more consumer reporting agencies, such as TransUnion, Experian and Equifax, and from other credit bureaus, banks, creditors and other third parties. You also authorize Cub Capital Group LLC to transmit this Application, with any of the foregoing information submitted/obtained in connection with this application, to any or all of the Recipients for the foregoing purposes. You also consent to the release, by any creditor or financial institution, of any information relating to any of you, to Cub Capital Group LLC and to each of the Recipients, on its own behalf. You intend to sign this Application electronically and consent to transacting business with Cub Capital Group LLC and its affiliates electronically. You are providing your business cell phone and business e-mail address and hereby consent to the receipt of correspondence/messages regarding transactions with Cub Capital Group LLC and/or its affiliates on either medium. You also hereby consent to

the receipt of text messages knowing that msg and data rates may apply. You understand that consent to conduct business via electronic signatures and to receive text messages are not a condition of approval and you may opt-out of either/both by contacting Cub Capital Group LLC Inc at [email protected]. Your signature above certifies that you are authorized to sign this application on behalf of the Business and all the information contained herein is complete, true and accurate.

Signature: *

Clear

Second Owner Signature: *

Clear

Submission Date: *