Merchant Qualifier – Chrome Capital Funding

Month 1

Revenue*

5% of month 1 revenue x 50%

5% of month 1 revenue

How many days were below in ?*

How many days were negative in ?*

Month 2

Revenue*

5% of month 2 revenue x 50%*

How many days were below in ?

How many days were negative in ?*

Month 3

Revenue*

5% of month 3 revenue x 50%

How many days were below in ?*

How many days were negative in ?*

Credit score range?

In the last 10 years, has the owner or business filed for bankruptcy?*

In the last 10 years, have any MCA judgments been filed under the owner or the business?*

How many active advances are there?*

Last Advance

How much was the last advance for?*

When was the last advance?*

What was the payback amount or factor rate?*

What is the daily payment or term of the advance?*

In what industry is the merchant’s business?

How long has the business been open for?*

Company Name*

Phone*

Email*

Merchant Name

First Last