apply.tiptopcrm.online
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2a02:4780:b:922:0:23cf:9bcf:1
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URL:
https://apply.tiptopcrm.online/
Submission: On May 30 via api from US — Scanned from DE
Submission: On May 30 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST
<form class="multisteps-form__form" id="app_form" method="POST" enctype="multipart/form-data" style="height: 541px;">
<input type="hidden" id="loan_option" name="loan_option">
<input type="hidden" id="dup_sale" name="dup_sale">
<input type="hidden" value="no" id="dup_f" name="dup_f">
<!-- Personal (1/3) -->
<div class="multisteps-form__panel shadow p-4 rounded bg-white js-active" data-animation="scaleIn">
<div class="center-heading">
<h2 class="section-title">Let's Get To Know You!</h2>
<div class="d-lg-none d-md-none" style="text-align: end;font-size: 17px;"><a href="#help">Help</a></div>
</div>
<div class="center-heading">
<h4>Personal Basic Info <strong>(1/3)</strong></h4>
</div>
<div class="multisteps-form__content">
<div class="row">
<div class="col-md-6">
<div class="mt-3">
<label for="first_name">First Name</label>
<input class="multisteps-form__input form-control req" required="" type="text" id="first_name" name="first_name" placeholder="First Name">
</div>
</div>
<div class="col-md-6">
<div class="mt-3">
<label for="last_name">Last Name</label>
<input class="multisteps-form__input form-control req" required="" type="text" id="last_name" name="last_name" placeholder="Last Name">
</div>
</div>
</div>
<div class="row">
<div class="col-md-6">
<div class="mt-3">
<label for="date_of_birth">Date Of Birth</label>
<input class="multisteps-form__input form-control req" required="" type="date" max="05-30-2024" id="date_of_birth" name="date_of_birth">
</div>
</div>
<div class="col-md-6">
<div class="mt-3">
<label for="email">Email Address</label>
<input class="multisteps-form__input form-control req" required="" type="email" id="email" name="email" onfocusout="check_focus_f()" placeholder="Email Address">
</div>
</div>
</div>
<div class="mt-3">
<label for="phone">Phone Number</label>
<input class="multisteps-form__input form-control req" required="" type="text" pattern="\d*" maxlength="10" minlength="10" id="phone" name="phone" placeholder="Phone Number">
</div>
<div class="button-row d-flex mt-4 justify-content-center">
<button class="btn btn-primary js-btn-next" type="button" title="Make Sure To Fill All Requied Fields!" data-btn-next="" disabled="">Next <svg viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
<g id="SVGRepo_bgCarrier" stroke-width="0"></g>
<g id="SVGRepo_tracerCarrier" stroke-linecap="round" stroke-linejoin="round"></g>
<g id="SVGRepo_iconCarrier">
<path
d="M13 15L16 12M16 12L13 9M16 12H8M7.2 20H16.8C17.9201 20 18.4802 20 18.908 19.782C19.2843 19.5903 19.5903 19.2843 19.782 18.908C20 18.4802 20 17.9201 20 16.8V7.2C20 6.0799 20 5.51984 19.782 5.09202C19.5903 4.71569 19.2843 4.40973 18.908 4.21799C18.4802 4 17.9201 4 16.8 4H7.2C6.0799 4 5.51984 4 5.09202 4.21799C4.71569 4.40973 4.40973 4.71569 4.21799 5.09202C4 5.51984 4 6.07989 4 7.2V16.8C4 17.9201 4 18.4802 4.21799 18.908C4.40973 19.2843 4.71569 19.5903 5.09202 19.782C5.51984 20 6.07989 20 7.2 20Z"
stroke="#ffffff" stroke-width="2" stroke-linecap="round" stroke-linejoin="round"></path>
</g>
</svg></button>
</div>
</div>
</div>
<!-- Personal (2/3) -->
<div class="multisteps-form__panel shadow p-4 rounded bg-white" data-animation="scaleIn">
<div class="button-row d-flex justify-content-start">
<button class="btn btn-primary js-btn-prev" type="button" title="Prev">Prev <svg viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
<g id="SVGRepo_bgCarrier" stroke-width="0"></g>
<g id="SVGRepo_tracerCarrier" stroke-linecap="round" stroke-linejoin="round"></g>
<g id="SVGRepo_iconCarrier">
<path
d="M11 9L8 12M8 12L11 15M8 12H16M7.2 20H16.8C17.9201 20 18.4802 20 18.908 19.782C19.2843 19.5903 19.5903 19.2843 19.782 18.908C20 18.4802 20 17.9201 20 16.8V7.2C20 6.0799 20 5.51984 19.782 5.09202C19.5903 4.71569 19.2843 4.40973 18.908 4.21799C18.4802 4 17.9201 4 16.8 4H7.2C6.0799 4 5.51984 4 5.09202 4.21799C4.71569 4.40973 4.40973 4.71569 4.21799 5.09202C4 5.51984 4 6.07989 4 7.2V16.8C4 17.9201 4 18.4802 4.21799 18.908C4.40973 19.2843 4.71569 19.5903 5.09202 19.782C5.51984 20 6.07989 20 7.2 20Z"
stroke="#ffffff" stroke-width="2" stroke-linecap="round" stroke-linejoin="round"></path>
</g>
</svg></button>
</div>
<div class="center-heading">
<h2 class="section-title">Let's Get To Know You!</h2>
<div class="d-lg-none d-md-none" style="text-align: end;font-size: 17px;"><a href="#help">Help</a></div>
</div>
<div class="center-heading mt-4">
<h4>What is Your Primary Address <strong>(2/3)</strong></h4>
</div>
<div class="multisteps-form__content">
<div class="row">
<div class="col-md-12">
<div class="mt-3">
<label for="address1">Address</label>
<input class="multisteps-form__input form-control req" type="text" id="address1" name="address1" required="" placeholder="Address">
</div>
</div>
</div>
<div class="row">
<div class="col-md-6">
<div class="mt-3">
<label for="city">City</label>
<input class="multisteps-form__input form-control req" type="text" id="city" name="city" required="" placeholder="City">
</div>
</div>
<div class="col-md-6">
<div class="mt-3">
<label for="personal_state">State</label>
<select name="personal_state" class="form-control req" required="" id="personal_state">
<option value="" selected="selected">Select a State</option>
<option value="AL">AL</option>
<option value="AK">AK</option>
<option value="AZ">AZ</option>
<option value="AR">AR</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DE">DE</option>
<option value="DC">DC</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="HI">HI</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="IA">IA</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="ME">ME</option>
<option value="MD">MD</option>
<option value="MA">MA</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MS">MS</option>
<option value="MO">MO</option>
<option value="MT">MT</option>
<option value="NE">NE</option>
<option value="NV">NV</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NY">NY</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PA">PA</option>
<option value="RI">RI</option>
<option value="SC">SC</option>
<option value="SD">SD</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VT">VT</option>
<option value="VA">VA</option>
<option value="WA">WA</option>
<option value="WV">WV</option>
<option value="WI">WI</option>
<option value="WY">WY</option>
<option value="CAN">CAN</option>
<option value="PR">PR</option>
</select>
</div>
</div>
</div>
<div class="mt-3">
<label for="postal_code">Zip Code</label>
<input class="multisteps-form__input form-control req" type="text" id="postal_code" name="postal_code" required="" placeholder="Zip Code" pattern="\d*" maxlength="5" minlength="5">
</div>
<div class="button-row d-flex mt-4 justify-content-center">
<button class="btn btn-primary js-btn-next" type="button" title="Make Sure To Fill All Requied Fields!" data-btn-next="" disabled="">Next <svg viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
<g id="SVGRepo_bgCarrier" stroke-width="0"></g>
<g id="SVGRepo_tracerCarrier" stroke-linecap="round" stroke-linejoin="round"></g>
<g id="SVGRepo_iconCarrier">
<path
d="M13 15L16 12M16 12L13 9M16 12H8M7.2 20H16.8C17.9201 20 18.4802 20 18.908 19.782C19.2843 19.5903 19.5903 19.2843 19.782 18.908C20 18.4802 20 17.9201 20 16.8V7.2C20 6.0799 20 5.51984 19.782 5.09202C19.5903 4.71569 19.2843 4.40973 18.908 4.21799C18.4802 4 17.9201 4 16.8 4H7.2C6.0799 4 5.51984 4 5.09202 4.21799C4.71569 4.40973 4.40973 4.71569 4.21799 5.09202C4 5.51984 4 6.07989 4 7.2V16.8C4 17.9201 4 18.4802 4.21799 18.908C4.40973 19.2843 4.71569 19.5903 5.09202 19.782C5.51984 20 6.07989 20 7.2 20Z"
stroke="#ffffff" stroke-width="2" stroke-linecap="round" stroke-linejoin="round"></path>
</g>
</svg></button>
</div>
</div>
</div>
<!-- Personal (3/3) -->
<div class="multisteps-form__panel shadow p-4 rounded bg-white" data-animation="scaleIn">
<div class="button-row d-flex justify-content-start">
<button class="btn btn-primary js-btn-prev" type="button" title="Prev">Prev <svg viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
<g id="SVGRepo_bgCarrier" stroke-width="0"></g>
<g id="SVGRepo_tracerCarrier" stroke-linecap="round" stroke-linejoin="round"></g>
<g id="SVGRepo_iconCarrier">
<path
d="M11 9L8 12M8 12L11 15M8 12H16M7.2 20H16.8C17.9201 20 18.4802 20 18.908 19.782C19.2843 19.5903 19.5903 19.2843 19.782 18.908C20 18.4802 20 17.9201 20 16.8V7.2C20 6.0799 20 5.51984 19.782 5.09202C19.5903 4.71569 19.2843 4.40973 18.908 4.21799C18.4802 4 17.9201 4 16.8 4H7.2C6.0799 4 5.51984 4 5.09202 4.21799C4.71569 4.40973 4.40973 4.71569 4.21799 5.09202C4 5.51984 4 6.07989 4 7.2V16.8C4 17.9201 4 18.4802 4.21799 18.908C4.40973 19.2843 4.71569 19.5903 5.09202 19.782C5.51984 20 6.07989 20 7.2 20Z"
stroke="#ffffff" stroke-width="2" stroke-linecap="round" stroke-linejoin="round"></path>
</g>
</svg></button>
</div>
<div class="center-heading">
<h2 class="section-title">Let's Get To Know You!</h2>
<div class="d-lg-none d-md-none" style="text-align: end;font-size: 17px;"><a href="#help">Help</a></div>
</div>
<div class="center-heading mt-4">
<h4>Required Personal Info <strong>(3/3)</strong></h4>
</div>
<div class="multisteps-form__content">
<div class="mt-3">
<label for="ssn">SSN</label>
<input class="multisteps-form__input form-control req" type="text" pattern="\d*" maxlength="9" minlength="9" required="" placeholder="SSN" id="ssn" name="ssn">
</div>
<div class="mt-3">
<label for="credit_score">Credit Score</label>
<select name="credit_score" id="credit_score" class="req form-control" required="">
<option value="" selected="selected">Credit Score</option>
<option value="Excellent (720 - 800+)">(720 - 800+) Excellent</option>
<option value="Very Good (680 - 720)">(680 - 720) Very Good</option>
<option value="Good (620 - 680)">(620 - 680) Good</option>
<option value="Average (580 - 620)">(580 - 620) Average</option>
<option value="Not Bad (500 - 580)">(500 - 580) Not Bad</option>
<option value="Below 500">Below 500</option>
</select>
</div>
<div class="mt-3">
<label for="ownership">Ownership %</label>
<select name="ownership" id="ownership" class="req form-control" required="">
<option value="">Ownership Percentage %</option>
<option value="50">50 %</option>
<option value="60">60</option>
<option value="70">70</option>
<option value="80">80</option>
<option value="90">90</option>
<option value="100" selected="selected">100 %</option>
</select>
</div>
<div class="button-row d-flex mt-4 justify-content-center">
<button class="btn btn-primary ml-auto js-btn-next" type="button" title="Make Sure To Fill All Requied Fields!" data-btn-next="" disabled="">Next <svg viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
<g id="SVGRepo_bgCarrier" stroke-width="0"></g>
<g id="SVGRepo_tracerCarrier" stroke-linecap="round" stroke-linejoin="round"></g>
<g id="SVGRepo_iconCarrier">
<path
d="M13 15L16 12M16 12L13 9M16 12H8M7.2 20H16.8C17.9201 20 18.4802 20 18.908 19.782C19.2843 19.5903 19.5903 19.2843 19.782 18.908C20 18.4802 20 17.9201 20 16.8V7.2C20 6.0799 20 5.51984 19.782 5.09202C19.5903 4.71569 19.2843 4.40973 18.908 4.21799C18.4802 4 17.9201 4 16.8 4H7.2C6.0799 4 5.51984 4 5.09202 4.21799C4.71569 4.40973 4.40973 4.71569 4.21799 5.09202C4 5.51984 4 6.07989 4 7.2V16.8C4 17.9201 4 18.4802 4.21799 18.908C4.40973 19.2843 4.71569 19.5903 5.09202 19.782C5.51984 20 6.07989 20 7.2 20Z"
stroke="#ffffff" stroke-width="2" stroke-linecap="round" stroke-linejoin="round"></path>
</g>
</svg></button>
</div>
</div>
</div>
<!-- Business (1/3) -->
<div class="multisteps-form__panel shadow p-4 rounded bg-white" data-animation="scaleIn">
<div class="button-row d-flex justify-content-start">
<button class="btn btn-primary js-btn-prev" type="button" title="Prev">Prev <svg viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
<g id="SVGRepo_bgCarrier" stroke-width="0"></g>
<g id="SVGRepo_tracerCarrier" stroke-linecap="round" stroke-linejoin="round"></g>
<g id="SVGRepo_iconCarrier">
<path
d="M11 9L8 12M8 12L11 15M8 12H16M7.2 20H16.8C17.9201 20 18.4802 20 18.908 19.782C19.2843 19.5903 19.5903 19.2843 19.782 18.908C20 18.4802 20 17.9201 20 16.8V7.2C20 6.0799 20 5.51984 19.782 5.09202C19.5903 4.71569 19.2843 4.40973 18.908 4.21799C18.4802 4 17.9201 4 16.8 4H7.2C6.0799 4 5.51984 4 5.09202 4.21799C4.71569 4.40973 4.40973 4.71569 4.21799 5.09202C4 5.51984 4 6.07989 4 7.2V16.8C4 17.9201 4 18.4802 4.21799 18.908C4.40973 19.2843 4.71569 19.5903 5.09202 19.782C5.51984 20 6.07989 20 7.2 20Z"
stroke="#ffffff" stroke-width="2" stroke-linecap="round" stroke-linejoin="round"></path>
</g>
</svg></button>
</div>
<div class="center-heading">
<h2 class="section-title">Let's Get To Know Your Business!</h2>
<div class="d-lg-none d-md-none" style="text-align: end;font-size: 17px;"><a href="#help">Help</a></div>
</div>
<div class="center-heading">
<h4>Business Basics <strong>(1/3)</strong></h4>
</div>
<div class="multisteps-form__content">
<div class="row">
<div class="col-md-6">
<div class="mt-3">
<label for="business_name">Legal Business Name</label>
<input class="multisteps-form__input form-control req" type="text" required="" id="business_name" name="business_name" placeholder="Legal Business Name">
</div>
</div>
<div class="col-md-6">
<div class="mt-3">
<label for="doing_business_as_dba">Doing Business As (DBA)</label>
<input class="multisteps-form__input form-control req" type="text" required="" id="doing_business_as_dba" name="doing_business_as_dba" placeholder="Doing Business As (DBA)">
</div>
</div>
</div>
<div class="row">
<div class="col-md-6">
<div class="mt-3">
<label for="business_start_date_monthyear">Date Business Started</label>
<input class="multisteps-form__input form-control req" type="date" max="05-30-2024" required="" id="business_start_date_monthyear" name="business_start_date_monthyear" placeholder="Date Business Started">
</div>
</div>
<div class="col-md-6">
<div class="mt-3">
<label for="funding_requested">Funding Requested</label>
<input class="multisteps-form__input form-control req" type="text" required="" id="funding_requested" name="funding_requested" placeholder="Funding Requested">
</div>
</div>
</div>
<div class="row">
<div class="col-md-12" id="main_funding_reason">
<div class="mt-3">
<label for="use_of_funds">Reason For Funding</label>
<select name="use_of_funds" id="use_of_funds" class="req form-control" required="">
<option value="" selected="selected">Reason For Funding</option>
<option value="Payroll">Payroll</option>
<option value="Inventory">Inventory</option>
<option value="Equipment">Equipment</option>
<option value="Renovations">Renovations</option>
<option value="Expansion">Expansion</option>
<option value="Repairs">Repairs</option>
<option value="Marketing">Marketing</option>
<option value="Taxes">Taxes</option>
<option value="Other">Other</option>
</select>
</div>
</div>
<!-- <div class="col-md-6" id="other_funding_reason" style="display:none;">
<div class="mt-3">
<label for="other_use_of_funds">Please Describe</label>
<input class="multisteps-form__input form-control req" type="text" required id="other_use_of_funds" name="other_use_of_funds"
placeholder="Reason?" maxlength="15" minlength="5" required />
</div>
</div> -->
</div>
<div class="button-row d-flex mt-4 justify-content-center">
<button class="btn btn-primary ml-auto js-btn-next" type="button" title="Make Sure To Fill All Requied Fields!" data-btn-next="" disabled="">Next <svg viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
<g id="SVGRepo_bgCarrier" stroke-width="0"></g>
<g id="SVGRepo_tracerCarrier" stroke-linecap="round" stroke-linejoin="round"></g>
<g id="SVGRepo_iconCarrier">
<path
d="M13 15L16 12M16 12L13 9M16 12H8M7.2 20H16.8C17.9201 20 18.4802 20 18.908 19.782C19.2843 19.5903 19.5903 19.2843 19.782 18.908C20 18.4802 20 17.9201 20 16.8V7.2C20 6.0799 20 5.51984 19.782 5.09202C19.5903 4.71569 19.2843 4.40973 18.908 4.21799C18.4802 4 17.9201 4 16.8 4H7.2C6.0799 4 5.51984 4 5.09202 4.21799C4.71569 4.40973 4.40973 4.71569 4.21799 5.09202C4 5.51984 4 6.07989 4 7.2V16.8C4 17.9201 4 18.4802 4.21799 18.908C4.40973 19.2843 4.71569 19.5903 5.09202 19.782C5.51984 20 6.07989 20 7.2 20Z"
stroke="#ffffff" stroke-width="2" stroke-linecap="round" stroke-linejoin="round"></path>
</g>
</svg></button>
</div>
</div>
</div>
<!-- Business (2/3) -->
<div class="multisteps-form__panel shadow p-4 rounded bg-white" data-animation="scaleIn">
<div class="button-row d-flex justify-content-start">
<button class="btn btn-primary js-btn-prev" type="button" title="Prev">Prev <svg viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
<g id="SVGRepo_bgCarrier" stroke-width="0"></g>
<g id="SVGRepo_tracerCarrier" stroke-linecap="round" stroke-linejoin="round"></g>
<g id="SVGRepo_iconCarrier">
<path
d="M11 9L8 12M8 12L11 15M8 12H16M7.2 20H16.8C17.9201 20 18.4802 20 18.908 19.782C19.2843 19.5903 19.5903 19.2843 19.782 18.908C20 18.4802 20 17.9201 20 16.8V7.2C20 6.0799 20 5.51984 19.782 5.09202C19.5903 4.71569 19.2843 4.40973 18.908 4.21799C18.4802 4 17.9201 4 16.8 4H7.2C6.0799 4 5.51984 4 5.09202 4.21799C4.71569 4.40973 4.40973 4.71569 4.21799 5.09202C4 5.51984 4 6.07989 4 7.2V16.8C4 17.9201 4 18.4802 4.21799 18.908C4.40973 19.2843 4.71569 19.5903 5.09202 19.782C5.51984 20 6.07989 20 7.2 20Z"
stroke="#ffffff" stroke-width="2" stroke-linecap="round" stroke-linejoin="round"></path>
</g>
</svg></button>
</div>
<div class="center-heading">
<h2 class="section-title">Let's Get To Know Your Business!</h2>
<div class="d-lg-none d-md-none" style="text-align: end;font-size: 17px;"><a href="#help">Help</a></div>
</div>
<div class="center-heading mt-4">
<h4>Business Address <strong>(2/3)</strong></h4>
</div>
<div class="multisteps-form__content">
<div class="row">
<div class="col-md-12">
<div class="mt-3">
<label for="business_address">Business Address</label>
<input class="multisteps-form__input form-control req" type="text" required="" id="business_address" name="business_address" placeholder="Address">
</div>
</div>
</div>
<div class="row">
<div class="col-md-6">
<div class="mt-3">
<label for="business_city">Business City</label>
<input class="multisteps-form__input form-control req" required="" type="text" id="business_city" name="business_city" placeholder="City">
</div>
</div>
<div class="col-md-6">
<div class="mt-3">
<label for="business_state">Business State</label>
<select name="business_state" id="business_state" class="req form-control" required="">
<option value="" selected="selected">Select a State</option>
<option value="AL">AL</option>
<option value="AK">AK</option>
<option value="AZ">AZ</option>
<option value="AR">AR</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DE">DE</option>
<option value="DC">DC</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="HI">HI</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="IA">IA</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="ME">ME</option>
<option value="MD">MD</option>
<option value="MA">MA</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MS">MS</option>
<option value="MO">MO</option>
<option value="MT">MT</option>
<option value="NE">NE</option>
<option value="NV">NV</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NY">NY</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PA">PA</option>
<option value="RI">RI</option>
<option value="SC">SC</option>
<option value="SD">SD</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VT">VT</option>
<option value="VA">VA</option>
<option value="WA">WA</option>
<option value="WV">WV</option>
<option value="WI">WI</option>
<option value="WY">WY</option>
<option value="CAN">CAN</option>
<option value="PR">PR</option>
</select>
</div>
</div>
</div>
<div class="mt-3">
<label for="business_zipcode">Business Zip <code></code></label>
<input class="multisteps-form__input form-control req" type="text" required="" id="business_zipcode" name="business_zipcode" placeholder="Zip Code" pattern="\d*" maxlength="5" minlength="5">
</div>
<div class="button-row d-flex mt-4 justify-content-center">
<button class="btn btn-primary ml-auto js-btn-next" type="button" title="Make Sure To Fill All Requied Fields!" data-btn-next="" disabled="">Next <svg viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
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</svg></button>
</div>
</div>
</div>
<!-- Business (3/3) -->
<div class="multisteps-form__panel shadow p-4 rounded bg-white" data-animation="scaleIn">
<div class="button-row d-flex justify-content-start">
<button class="btn btn-primary js-btn-prev" type="button" title="Prev">Prev <svg viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
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<path
d="M11 9L8 12M8 12L11 15M8 12H16M7.2 20H16.8C17.9201 20 18.4802 20 18.908 19.782C19.2843 19.5903 19.5903 19.2843 19.782 18.908C20 18.4802 20 17.9201 20 16.8V7.2C20 6.0799 20 5.51984 19.782 5.09202C19.5903 4.71569 19.2843 4.40973 18.908 4.21799C18.4802 4 17.9201 4 16.8 4H7.2C6.0799 4 5.51984 4 5.09202 4.21799C4.71569 4.40973 4.40973 4.71569 4.21799 5.09202C4 5.51984 4 6.07989 4 7.2V16.8C4 17.9201 4 18.4802 4.21799 18.908C4.40973 19.2843 4.71569 19.5903 5.09202 19.782C5.51984 20 6.07989 20 7.2 20Z"
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</svg></button>
</div>
<div class="center-heading">
<h2 class="section-title">Let's Get To Know Your Business!</h2>
<div class="d-lg-none d-md-none" style="text-align: end;font-size: 17px;"><a href="#help">Help</a></div>
</div>
<div class="center-heading mt-4">
<h4>Business Required Info <strong>(3/3)</strong></h4>
</div>
<div class="multisteps-form__content">
<div class="row">
<div class="col-md-6">
<div class="mt-3">
<label for="annual_gross_sales_">Monthly Revenue</label>
<input class="multisteps-form__input form-control req" type="number" required="" id="annual_gross_sales_" name="annual_gross_sales_" placeholder="Monthly Revenue">
</div>
</div>
<div class="col-md-6">
<div class="mt-3">
<label for="federal_tax_id">Tax ID</label>
<input class="multisteps-form__input form-control req" type="text" pattern="\d*" maxlength="9" minlength="9" required="" placeholder="Tax ID" id="federal_tax_id" name="federal_tax_id">
</div>
</div>
</div>
<div class="row">
<div class="col-md-12">
<div class="mt-3">
<label for="entity">Entity Type</label>
<select name="entity" id="entity" class="req form-control" required="">
<option value="" selected="selected">Entity Type</option>
<option value="INC">INC</option>
<option value="LLC">LLC</option>
<option value="Sole Proprietorship">Sole Proprietorship</option>
<option value="Partner">Partner</option>
<option value="Corporation">Corporation</option>
</select>
</div>
</div>
<div class="col-md-12" id="main_indus_type">
<div class="mt-3">
<label for="industry_type">Industry Type</label>
<select name="industry_type" id="industry_type" class="req form-control" required="">
<option value="Auto Repair">Auto Repair</option>
<option value="Auto Sales">Auto Sales</option>
<option value="Cannabis">Cannabis</option>
<option value="Construction/Utilities/Contracting">Construction/Utilities/Contracting</option>
<option value="Consulting">Consulting</option>
<option value="E-commerce">E-commerce</option>
<option value="Education">Education</option>
<option value="Entertainment">Entertainment</option>
<option value="Farming">Farming</option>
<option value="Finance">Finance</option>
<option value="Food & Hospitality">Food & Hospitality</option>
<option value="Funerary services">Funerary services</option>
<option value="Gas Station">Gas Station</option>
<option value="Legal/Attorney">Legal/Attorney</option>
<option value="Medical">Medical</option>
<option value="Natural Resources/Environment">Natural Resources/Environment</option>
<option value="Non Profit">Non Profit</option>
<option value="Personal Services">Personal Services</option>
<option value="Real Estate & Housing">Real Estate & Housing</option>
<option value="Retail">Retail</option>
<option value="Safety/Security">Safety/Security</option>
<option value="Taxi services">Taxi services</option>
<option value="Technology">Technology</option>
<option value="Trucking">Trucking</option>
<option value="Wholesale">Wholesale</option>
<option value="Other">Other</option>
</select>
</div>
</div>
<!-- <div class="col-md-6" id="other_indus_type" style="display:none;">
<div class="mt-3">
<label for="other_industry_type">Please Enter Business Type</label>
<input class="multisteps-form__input form-control req" type="text" minlength="5" maxlength="15" required
placeholder="Enter Business Type Here" id="other_industry_type" name="other_industry_type" />
</div>
</div> -->
</div>
<div class="button-row d-flex mt-4 justify-content-center">
<button class="btn btn-primary ml-auto js-btn-next" type="button" title="Make Sure To Fill All Requied Fields!" data-btn-next="" disabled="">Next <svg viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
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d="M13 15L16 12M16 12L13 9M16 12H8M7.2 20H16.8C17.9201 20 18.4802 20 18.908 19.782C19.2843 19.5903 19.5903 19.2843 19.782 18.908C20 18.4802 20 17.9201 20 16.8V7.2C20 6.0799 20 5.51984 19.782 5.09202C19.5903 4.71569 19.2843 4.40973 18.908 4.21799C18.4802 4 17.9201 4 16.8 4H7.2C6.0799 4 5.51984 4 5.09202 4.21799C4.71569 4.40973 4.40973 4.71569 4.21799 5.09202C4 5.51984 4 6.07989 4 7.2V16.8C4 17.9201 4 18.4802 4.21799 18.908C4.40973 19.2843 4.71569 19.5903 5.09202 19.782C5.51984 20 6.07989 20 7.2 20Z"
stroke="#ffffff" stroke-width="2" stroke-linecap="round" stroke-linejoin="round"></path>
</g>
</svg></button>
</div>
</div>
</div>
<!-- Disclosure & Signature -->
<div class="multisteps-form__panel shadow p-4 rounded bg-white" data-animation="scaleIn">
<div class="button-row d-flex justify-content-start">
<button class="btn btn-primary js-btn-prev" type="button" title="Prev">Prev <svg viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
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</svg></button>
</div>
<div class="center-heading">
<h2 class="section-title">Disclosure</h2>
<div class="d-lg-none d-md-none" style="text-align: end;font-size: 17px;"><a href="#help">Help</a></div>
</div>
<div class="multisteps-form__content">
<div class="mt-3">
<p style="font-size: 10px;">By signing, each of the above listed business and business owner/officer (individually and collectively, “you”) authorize Tip Top Capital Inc. (“TTC”) and each of its representatives, successors, assigns and
designees (“Recipients”) that may be involved with or acquire commercial loans having daily repayment features or purchases 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 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 TTC to transmit this application form, along with any of the foregoing information obtained in
connection with this application, to any or all of the recipients for the foregoing purposes to the release, by any creditor or financial institution, of any information relating to any of you, to TTC and to each of the Recipients, on its
own behalf, you are consenting to receiving future communications from Tip Top Capital via SMS, email, and voice. If your application for business credit is denied, you have the right to a written statement of the specific reasons for the
denial. To obtain the statement, please contact TTC at the above address or phone number within 60 days from the date you are notified of the credit decision. You have the right to obtain a written statement of reasons for the denial within
30 days of receiving your request for the statement.</p>
</div>
<div class="row">
<div class="col-md-12">
<label for="signature" class="form-label sign-text d-block">Signature</label>
<canvas id="sig-canvas" width="600" height="160"> Get a better browser, bro. </canvas>
<span class="hidden text-red mb-1" id="text_red" style="color:red;display:none;font-size: 15px;">This Field is Required</span>
</div>
</div>
<div class="row">
<div class="col-md-12">
<textarea name="sign" id="sig-image" style="display:none" required=""></textarea>
<button type="button" class="btn btn-primary" style="font-size: 14px;" id="sig-clearBtn">Clear Signature</button>
</div>
</div>
<p class="pb-2" style="font-size: 17px;">Checkmark the Box below if you agree to the consent above *</p>
<div class="d-flex align-items-center">
<label for="disclosure" class="form-check-label mr-2">I Agree!</label>
<input class="multisteps-form__input form-check-inline" style="width: 17px; height: 17px;" type="checkbox" id="disclosure" name="disclosure" value="1" required="">
</div>
<div class="button-row d-flex mt-4 justify-content-center">
<button class="btn btn-primary ml-auto" type="button" title="Make Sure To Fill All Requied Fields!" id="sig-submitBtn" disabled="" data-btn-next="">Submit <svg viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
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<path d="M9 12L10.6828 13.6828V13.6828C10.858 13.858 11.142 13.858 11.3172 13.6828V13.6828L15 10" stroke="#ffffff" stroke-width="2" stroke-linecap="round" stroke-linejoin="round"></path>
</g>
</svg></button>
</div>
</div>
</div>
<!-- Required Documents -->
<div class="multisteps-form__panel shadow p-4 rounded bg-white" data-animation="scaleIn">
<div class="center-heading">
<h2 class="section-title">Add The Following Bank statements to complete App</h2>
<div class="d-lg-none d-md-none" style="text-align: end;font-size: 17px;"><a href="#help">Help</a></div>
</div>
<div class="multisteps-form__content">
<div class="mt-3">
<label for="last_month" class="form-label">March</label>
<input class="multisteps-form__input form-control req" type="file" id="last_month" name="upload1" required="" accept="application/pdf">
</div>
<div class="row">
<div class="col-md-6">
<div class="mt-3">
<label for="3rd_last_month" class="form-label">April</label>
<input class="multisteps-form__input form-control req" type="file" id="3rd_last_month" name="upload2" required="" accept="application/pdf">
</div>
</div>
<div class="col-md-6">
<div class="mt-3">
<label for="2nd_last_month" class="form-label">March</label>
<input class="multisteps-form__input form-control req" type="file" id="2nd_last_month" name="upload3" required="" accept="application/pdf">
</div>
</div>
</div>
<div class="mt-3">
<label for="other_supporting_docs" class="form-label">Other Supporting Documents: (MTD, Open Positions Contracts, Competitor Contracts)</label>
<input class="multisteps-form__input form-control req" multiple="" type="file" id="other_supporting_docs" name="upload[]" accept="application/pdf" placeholder="Other Supporting Documents">
</div>
<div class="button-row d-flex mt-4">
<button class="btn btn-primary ml-auto" type="submit" title="Make Sure To Fill All Requied Fields!" id="upload_documents" data-btn-next="">Upload <svg viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
<g id="SVGRepo_bgCarrier" stroke-width="0"></g>
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<path d="M9 12L10.6828 13.6828V13.6828C10.858 13.858 11.142 13.858 11.3172 13.6828V13.6828L15 10" stroke="#ffffff" stroke-width="2" stroke-linecap="round" stroke-linejoin="round"></path>
</g>
</svg></button>
</div>
</div>
</div>
<!-- Approval -->
<div class="multisteps-form__panel shadow p-4 rounded bg-white" style="height:500px;" data-animation="scaleIn">
<div class="center-heading">
<h2 class="section-title">Completed!</h2>
<div class="d-lg-none d-md-none" style="text-align: end;font-size: 17px;"><a href="#help">Help</a></div>
</div>
<div class="multisteps-form__content">
<div class="center-heading">
<h4>You will get a following email with next steps and someone from our Approvals Department will reach out to <span id="phone_number"></span> in the next 30 minutes.</h4>
<h3 class="mt-3">
<strong id="final_result">Lorem ipsum dolor</strong>
</h3>
</div>
</div>
</div>
</form>Text Content
* (888) 443-4488 * Sign In Menu WE WORK WITH EVERY BUSINESS NO MATTER CREDIT SCORE! LET'S FIND YOUR BEST RATES TODAY! MY BUSINESS NEED A: money-bag WORKING CAPITAL LINE OF CREDIT ASSET BASED LOAN Next Personal (1/3) Personal (2/3) Personal (3/3) Business (1/3) Business (2/3) Business (3/3) Disclosure Documents Approval LET'S GET TO KNOW YOU! Help PERSONAL BASIC INFO (1/3) First Name Last Name Date Of Birth Email Address Phone Number Next Prev LET'S GET TO KNOW YOU! Help WHAT IS YOUR PRIMARY ADDRESS (2/3) Address City State Select a State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY CAN PR Zip Code Next Prev LET'S GET TO KNOW YOU! Help REQUIRED PERSONAL INFO (3/3) SSN Credit Score Credit Score (720 - 800+) Excellent (680 - 720) Very Good (620 - 680) Good (580 - 620) Average (500 - 580) Not Bad Below 500 Ownership % Ownership Percentage % 50 % 60 70 80 90 100 % Next Prev LET'S GET TO KNOW YOUR BUSINESS! Help BUSINESS BASICS (1/3) Legal Business Name Doing Business As (DBA) Date Business Started Funding Requested Reason For Funding Reason For Funding Payroll Inventory Equipment Renovations Expansion Repairs Marketing Taxes Other Next Prev LET'S GET TO KNOW YOUR BUSINESS! Help BUSINESS ADDRESS (2/3) Business Address Business City Business State Select a State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY CAN PR Business Zip Next Prev LET'S GET TO KNOW YOUR BUSINESS! Help BUSINESS REQUIRED INFO (3/3) Monthly Revenue Tax ID Entity Type Entity Type INC LLC Sole Proprietorship Partner Corporation Industry Type Auto Repair Auto Sales Cannabis Construction/Utilities/Contracting Consulting E-commerce Education Entertainment Farming Finance Food & Hospitality Funerary services Gas Station Legal/Attorney Medical Natural Resources/Environment Non Profit Personal Services Real Estate & Housing Retail Safety/Security Taxi services Technology Trucking Wholesale Other Next Prev DISCLOSURE Help By signing, each of the above listed business and business owner/officer (individually and collectively, “you”) authorize Tip Top Capital Inc. (“TTC”) and each of its representatives, successors, assigns and designees (“Recipients”) that may be involved with or acquire commercial loans having daily repayment features or purchases 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 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 TTC to transmit this application form, along with any of the foregoing information obtained in connection with this application, to any or all of the recipients for the foregoing purposes to the release, by any creditor or financial institution, of any information relating to any of you, to TTC and to each of the Recipients, on its own behalf, you are consenting to receiving future communications from Tip Top Capital via SMS, email, and voice. If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain the statement, please contact TTC at the above address or phone number within 60 days from the date you are notified of the credit decision. You have the right to obtain a written statement of reasons for the denial within 30 days of receiving your request for the statement. Signature Get a better browser, bro. This Field is Required Clear Signature Checkmark the Box below if you agree to the consent above * I Agree! Submit ADD THE FOLLOWING BANK STATEMENTS TO COMPLETE APP Help March April March Other Supporting Documents: (MTD, Open Positions Contracts, Competitor Contracts) Upload COMPLETED! Help YOU WILL GET A FOLLOWING EMAIL WITH NEXT STEPS AND SOMEONE FROM OUR APPROVALS DEPARTMENT WILL REACH OUT TO IN THE NEXT 30 MINUTES. LOREM IPSUM DOLOR HELP Personal Basic Info (1/3) We need your personal basic information to verify your identity and ensure that we have the correct contact details. This information helps us to communicate effectively with you throughout the loan application process and to comply with legal requirements for lending. Tip Top Capital is a finance company that provides merchant cash advances to small to medium businesses with the working capital they need to operate their business on a daily basis. HELPFUL LINKS * About Us * Products * Loan Calculator MORE LINKS * Reviews * FAQ's CONTACT US 110 William Street Suite 2502 New York, NY 10038 Phone: (888) 443-4488 E-Mail: apply@tiptopcap.com © 2016 Tip Top Capital | All Rights Reserved. * * *