Borrower application | Brittco Capital Inc

Full application

New Borrower Application

This is the same application staff uses when adding a borrower.

Full name

Date of birth

Entity type

Entity / LLC name

Mobile / cell phone

Social Security/TIN#

Current address

City

State

ZIP

More profile EIN, spouse

EIN (entity)

Marital status

Single Married

Own or rent

Years at this address

2+ years Less than 2 years

Employment

Current employment

Self employed Enter employer information

Bank account for ACH

Used if you authorize Brittco to debit payments. Routing and account stay on your file.

Bank name

Account type

Routing number

Account number

I authorize Brittco Capital to debit this account when I sign an ACH authorization

ACH payments are processed by Dwolla, Inc. Brittco Capital is the platform requesting the debit. Funds move between bank accounts. This app does not hold a Dwolla balance for borrowers or investors.

By checking this box you agree to Brittco Capital’s ACH authorization and to our partner Dwolla’s Terms of Service and Privacy Policy.

Liquid assets

Bankruptcy / foreclosure (7 yrs)

Credit score

Business-purpose loans only. Not a consumer mortgage.