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Clara Capital Application

Funding Application

Business Information
Legal Name:
DBA:	Legal Entity Type:
Business Number:	Business Start Date:
Industry:	Province of Incorporation:
Phone:	Fax:
Email:	Website:
Address:
Annual Business Revenue:	Amount Requested:
Use of Proceeds:

Primary Owner
Name:	Date of Birth:
SIN:	% Ownership:
Address:
Cell Phone:	Email:

Secondary Owner
Name:	Date of Birth:
SIN:	% Ownership:
Address:
Cell Phone:	Email:

Additional Business Information
Seasonal Business:	Liens / Judgments:
Bankruptcy:	Outstanding Loan:
Estimated Credit Score:	Balance ($):

By signing below, each of the above listed business and business owners/officers/members (individually and collectively, "you") authorize Clara Capital, LLC ("CC") and each of its representatives, successors, assignees, affiliates and designees collectively "Recipients that may be involved with the acquiring of commercial loans and or other products that have daily repayment features for the purchase of future receivables, including Merchant Cash Advance transactions, including without limitation the application therefore (collectively, "Transactions) to obtain consumer or personal business and investigative reports and other information about you, including without limitation 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 Co to transmit this application form, along with any of the foregoing information obtained in connection with this application, to any or all the Recipients for the foregoing purposes; however, co shall not disclose information in your credit report to third parties. You also consent to the release, by any credit or ﬁnancial institution, of any information relating to you, to CC and to each of the Recipients, on its own behalf It's okay for my funding specialist to send Owner 1 and Owner 2 emails and text messages. We acknowledge we can opt out at any time.

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August 26, 2025 3:55 pm EST

Clara Capital Application Uploaded by Ryan Adwar - support@claracap.com IP 83.20.235.124

Funding Application

Business Information

Legal Name:

DBA:

Legal Entity Type:

Business Number:

Business Start Date:

Industry:

Province of Incorporation:

Phone:

Fax:

Email:

Website:

Address:

Annual Business Revenue:

Amount Requested:

Use of Proceeds:

Primary Owner

Name:

Date of Birth:

SIN:

% Ownership:

Address:

Cell Phone:

Email:

Secondary Owner

Name:

Date of Birth:

SIN:

% Ownership:

Address:

Cell Phone:

Email:

Additional Business Information

Seasonal Business:

Liens / Judgments:

Bankruptcy:

Outstanding Loan:

Estimated Credit Score:

Balance ($):