Sales ID:

MERCHANT FUNDING APPLICATION

Please fill out the form in its entirety and return by email or fax.
By doing so, you are giving Strategic Funding Source, Inc. and its affiliates permission to review your business and personal credit history.

Business Information
Legal Business Name (“Merchant”): Bosquezhomeimprovement Business DBA Name: Bosquezhomeimprovement
Address: 905 east ripy st City, State Zip: Fort worth,tx
Phone: 8177246394 Fax: N/a
Website: Bosquezhomeimprovement.org Email: Bosquezhomeimprovement@gmail.com
Entity: LLC Partner Other State Federal Tax ID #: 466658185
Industry Type (NAICS or description): Home remodel Business Start Date (current ownership): March 3,2018
Business Location: Home Commercial Location Business Description: Home remodel,hardwood floor installation
Financial Information
Existing Funding Company? Yes No Balance? $ N/a Requested Funding
: Amount: 20,000
Funding Company Name: N/a Use of Funds: Purchase of equipment and inventory
Gross Annual Sales (Previous year’s Tax return): N/a
Owner/Principal Information
Owner 1 (Primary Credit Pull): Henry bosquez jr Owner 2: N/a
Address: 905 east ripy st Address: N/a
City, State Zip: Fort worth tx 76110 City, State Zip: N/a
Home Phone: N/a Home Phone: N/a
Mobile: 8177246394 Mobile: N/a
Email: Chinobosquez78@gmail.com Email: N/a
% of Ownership: 100 % of Ownership: N/a
Date of Birth: 09/26/1978 Date of Birth: N/a
SSN#: 466658185 SSN#: N/a
Property Information
Property: Own Rent If owned, by who?
Landlord Name (if renting): Landlord Contact Number (if renting):
Landlord Fax (if renting): Landlord Email (if renting):

The Merchant and Owner(s)identified above (individually, the “Applicant”) each represents, acknowledges and agrees that (1) all information and documents provided to
Strategic Funding Source Inc. including credit card processor statements are true, accurate and complete, (2) Applicant will immediately notify Strategic Funding Source Inc.of
any change in such information or financial condition, (3) Applicant authorizes Strategic Funding Source Inc. to disclose all information and documents that StrategicFunding
Source Inc. may obtain including credit reports to other persons or entities (collectively, “Assignees”) that may be involved with or acquire commercial loans havingdaily
repayment features or purchases of future receivables including Merchant Cash Advance transactions, including without limitation to the application therefore(collectively,
“Transactions”) and each Assignee is authorized to use such information and documents, and share such information and documents with other Assignees, inconnection with
potential Transactions, (4) each Assignee will rely upon the accuracy and completeness of such information and documents, (5) Strategic Funding SourceInc, Assignees, and
each of their representatives, successors, assignees and designees (Collectively, “Recipients”) are authorized to request and receive any investigativereports, credit reports,
statements from creditors or financial institutions, verification of information, or any other information that a Recipient deems necessary, (6) Applicantwaives and releases any
claims against Recipients and any information providers arising from any act or omission relating to the requesting, receiving or release ofinformation, and (7) each
Owner/Officer represents that he or she is authorized to sign this form on behalf of the Merchant.

Strategic Funding Source, Inc. (“SFSI”) may from time to time notify applicant(s) of various promotional offers and other marketing information by electronic mail, telephone,
text message (SMS/MMS) and/or cell phone. By clicking submit, applicant(s) consents and authorizes SFSI to call any telephone number provided by applicant(s) in this
application, including cellular phone numbers and residential landlines for all purposes, including marketing and promotions. Applicant(s) is further consenting to and
authorizing SFSI to use automatic telephone dialing systems or “auto dialer” and pre-recorded voice message in disseminating information, including promotional offers and
marketing information, to applicant at all numbers provided by applicant in this application, including cellular phone numbers and residential landlines. Applicants agree to
update the numbers provided if they change, or upon request by SFSI should an application for financing be approved. Please note that you are not required to consent to
SFSI contacting you in order to qualify for financing or obtain any other products or services from SFSI. If you do not agree to be called for marketing purposes or as otherwise
outlined in this section, please check this box.

Owner 1 Signature:
Henry bosquez jr Owner 2 Signature:
N/a
Date:
08/21/1978 Date:
N/a

Strategic Funding Source, Inc.

www.sfscapital.com 1501 Broadway, New York, NY 10036