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(888) 720-3518
North Miami, Florida

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Financial Universal Merchant Application

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Merchant Information:

Business Legal Name: *

Business DBA: (if applicable)

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Business Phone: *

Web Address: *

Legal Form of Entity & Authorized Signer

Name of Officer Signing Application: *

Legal Entity: *

Corporation
LLC
Partnership
LP
LLP
Sole Proprietorship

How Long Have You Owned The Business? *

Federal Tax ID: *

Name of Landlord: *

Landlord Phone Number *

Date of Organization: *

State of Organization: *

Total Annual Sales: *

Total Cash Needed: *

of of Email

Information on Principal Owner/Loan Guarantor

Name of Principal Owner/Guarantor: *

DOB: *

Social Security #: *

Driver's License #: *

State: *

Email Address: *

Full Address *

Are You A US Citizen? *

If not, Are You a Permanent Resident?: *

Home Number: *

Mobile Number: *

Do You Own or Rent? *

Yes
No

Bank Statements

Drag & Drop Files, Choose Files to Upload You can upload up to 12 files.

The Company and the undersigned principal owner of The Company identified above (“Applicant”) represents, acknowledges, and agrees that (1) all information File Uploadand documents provided to Tricell Capital (“Provider”) are true, accurate, and complete, (2) Applicant will immediately notify Provider of any change in Applicant's financial condition, (3) Provider is authorized to submit this Application and all supporting documents provided by Applicant to its’ affiliates, representatives, successors, assigns, designees, agents, partners, and third-party financial institutions for the purpose of considering commercial financing offers to Applicant (collectively "Recipients"), (4) such Recipients are authorized to request and receive any investigative reports, consumer credit reports, statements from creditors or financial institutions, verifications of information, or any other information that Recipients deem necessary in considering this Application, (5) the undersigned represents that they are authorized to sign this form on behalf of The Company, and (6) THE COMPANY AND PRINCIPAL CONSENT TO RECEIVE CALLS, TEXTS, AND EMAILS FROM PROVIDER AND RECIPIENTS BASED UPON THE CONTACT INFORMATION OF APPLICANT PROVIDED IN THIS APPLICATION.

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested from Tricell Capital . These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply .Reply HELP for help or STOP to opt-out.

Owner Signature *

Clear Signature

Printed Name: *

We are a strategic business lending and capital advisory firm helping entrepreneurs access funding with clarity, precision, and purpose.

Our Services

Equipment Financing
Working Capital
Term Loans & SBA Loans
Business Line of Credit
Invoice Factoring
Commercial Real Estate
Merchant Cash Advance (MCA)

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Contact Info

North Miami, Florida
(888) 720-3518
info@tricellcapital.com
Office Hours: 9AM - 6PM

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