Business Funding Form | Consumers Wealth Enterprises

Welcome to Consumers Wealth Enterprises’ Business Funding Application. We are committed to helping entrepreneurs access the capital they need to grow, scale, and strengthen their businesses. Please complete the form below with accurate and up-to-date information so our team can assess your eligibility and match you with the best funding options available. Your information will be reviewed with the highest level of confidentiality and professionalism as we work to support your business’s financial success.

Personal Information

First name

Last name

Social Security Number

Birthday

Month

Day

Year

Phone

Address

Email

Percentage of business owned?

Proof of identity

Driver's License or Passport

Business Information

Legal business name

DBA (Doing Business As), if applicable

Business phone number

Business address

Website (if applicable)

Business industry / NAICS code

EIN (Employer Identification Number)

State of incorporation

Date the business was established

Business Financial Information

Annual revenue

Monthly revenue

$10,000 - $20,000

$20,000 - $30,000

$30,000 - $50,000

$50,000 +

Amount of funding you are requesting

Purpose of funds

Bank statements

PDF documents only! No screenshots. 3 Most Recent Bank Statements

Business entity document

Articles of Organization / Incorporation

Authorization & Acknowledgment

I authorize Consumers Wealth Enterprises to submit my information to third-party financial institutions or service providers for the purpose of reviewing my eligibility for funding or financing. I understand that Consumers Wealth Enterprises does not guarantee approval, terms, or outcomes of any application submitted on my behalf. I agree that all decisions, approvals, or denials are made solely by the third-party provider(s).