 A+ rating with the Better Business Bureau

 Same day funding available

 Funding up to $3,000,000
 Customized solutions for your business!
 Direct Funder

Pre-Qualification Form
Business Legal Name: Business DBA Name: Type of Business Entity
Fresh Fruit and Vegetable Merchant Wholesalers Fresh Fruit and Vegetable Merchant Wholesalers Sole Prop

EIN: Physical Street Address:

00-0445230 527 N Carolina Ave
City: State Zip
Petersburg VA 23803
Business Phone: Requested Amt: Use Of Funds: Gross Annual Sales: Business Start Date:
804-605-9911 20000 PAYROLL 100000 APRIL 2019
Do you currently have Who is the Funder(s): What is your balance(s)? Business Industry: Do you own Real Estate:
funding?
N/A N/A RETAIL N/A
NO

Principal/Owner % Ownership:
1 100
Legal Last Name: Legal First Name: SSN: Date of Birth: Phone:
Rawlings Jr Aaron 224-71-5790 04/01/1994 8046059911

Home Address: City: State: Zip:

527 N Carolina Ave Petersburg VA 23803

Authorizations
The Merchant and Owner(s)/OfÏcer(s) identified above (individually, an "Applicant") each represents, acknowledges and agrees that (1) all information and documents provided to Platform Funding, LLC ("PLAT") including
credit card processor statements are true, accurate and complete, (2) Applicant will immediately notify PLAT of any change in such information or financial condition, (3) Applicant authorizes PLAT to disclose all
information and documents that PLAT may obtain including credit reports to other persons or entities (collectively, "Assignees") 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") and each Assignee is authorized to use such information
and documents, and share such information and documents with other Assignees, in connection with potential Transactions, (4) each Assignee will rely upon the accuracy and completeness of such information and
documents, (5) PLAT, assignees, and each of their representatives, successors, assigns and designees (collectively, "Recipients") are authorized to request and receive any investigative reports, credit reports, statements
from creditors or financial institutions, verification of information, or any other information that a Recipient deems necessary, (6) Applicant waives and releases any claims against Recipients and any information-providers
arising from any act or omission relating to the requesting, receiving or release of information, and (7) each Owner/OfÏcer represents that he or she is authorized to sign this form on behalf of Merchant.

Principal 1 Print Name: Principal 1 Signature: Date:

Aaron Rawlings Jr 07/02/2024
 REFERENCE NUMBER
6DFD3385-A41B-4539-8881-865E8ED4B3CC
SIGNATURE CERTIFICATE

TRANSACTION DETAILS DOCUMENT DETAILS

Reference Number Document Name
6DFD3385-A41B-4539-8881-865E8ED4B3CC Platform Application Prefill
Transaction Type Filename
Signature Request platform_application_prefill.docx
Sent At Pages
07/02/2024 17:49 EDT 1 page
Executed At Content Type
07/02/2024 18:11 EDT application/vnd.openxmlformats-officedocument.wordprocessingml.document
Identity Method File Size
email 61.2 KB
Distribution Method Original Checksum
email 036ecf1dd1e8db26bec9bda97f9d4b1e35b678cf3c6e2c4db89d93cc3e6bbed6
Signed Checksum
a0fea1cc7c6957f5c83653588e7312bb54ebabf14dbc4753b488a16aafc661dc

Signer Sequencing
Disabled
Document Passcode
Disabled

SIGNERS
SIGNER E-SIGNATURE EVENTS
Name Status Viewed At
Aaron Rawlings Jr signed 07/02/2024 18:00 EDT
Email Multi-factor Digital Fingerprint Checksum Identity Authenticated At
lilaaron34@yahoo.com a6b8020a7aa642e4149d6aff46e69f3994aabe8c79c251f525e03452d15c2b9e 07/02/2024 18:11 EDT
Components IP Address Signed At
2 172.56.197.95 07/02/2024 18:11 EDT
Device
Mobile Safari via iOS
Drawn Signature

Signature Reference ID
3020B9F0
Signature Biometric Count
4

AUDITS
TIMESTAMP
07/02/2024 17:49 EDT
07/02/2024 17:49 EDT
07/02/2024 18:00 EDT
07/02/2024 18:11 EDT
07/02/2024 18:11 EDT
AUDIT
Simon Sebhat (simon@platformfunding.com) created document 'platform_application_prefill.docx' on Chrome via
Windows from 45.21.41.242.
Aaron Rawlings Jr (lilaaron34@yahoo.com) was emailed a link to sign.
Aaron Rawlings Jr (lilaaron34@yahoo.com) viewed the document on Mobile Safari via iOS from 172.56.197.85.
Aaron Rawlings Jr (lilaaron34@yahoo.com) authenticated via email on Mobile Safari via iOS from 172.56.197.95.
Aaron Rawlings Jr (lilaaron34@yahoo.com) signed the document on Mobile Safari via iOS from 172.56.197.95.