AmeriKa Capital Group
AmeriKa Capital GroupBUSINESS & REAL ESTATE FINANCING — NATIONWIDE

Application Received

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Merchant Pre-Qualification Form

USA

Business Information

Under current ownership

Existing Cash Advances

Flagged for your review — original form had this as a header with no field visible to me; added a simple yes/no + detail field below. Adjust as needed.

Business Location

Additional Business Information

SIC Code or Description

Primary Owner's Information

Self-reported estimate is fine

Secondary Owner/Officer (optional)

Required Documents

🏦

Bank Statements*

Last 3 months + month to date (NY, CA, VA, UT: last 4 months)

No files selected
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Government-Issued Photo ID*

Driver's license, state ID, or passport for the primary owner

No file selected
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Voided Check*

Photo of a voided check for the business bank account, used for funding

No file selected

Authorizations

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