Bizzy Small Business Funding Application
Fast & Simple Business Funding
Date
1
Business Information
Legal Business Name
Required
Tax ID (EIN)
Business Street Address
Required
Business City
Required
State
Required
Zip Code
Business Phone Number
Required
Business Start Date
Business Type / Industry
2
Owner 1 Information
Owner Full Name
Required
Date of Birth
Email Address
Valid email required
Cell Phone Number
Required
Home Street Address
City
State
Zip Code
Ownership %
SSN
3
Financial Information
Requested Funding Amount
Required
Bank Statements — Upload Below (Last 3–6 Months)
Upload one statement per field. Start with your most recent month. Accepted formats: PDF, JPG, PNG.
Statement 1 — Most Recent Month
(required)
Statement 2 — 2nd Most Recent Month
(required)
Statement 3 — 3rd Most Recent Month
(required)
Statement 4
(optional)
Statement 5
(optional)
Statement 6
(optional)
Each statement must be uploaded separately. Do not combine into a single file.
Submit Application
🐝
Application Submitted!
Thank you — your application and bank statements have been sent to the Bizzy Capital team. We'll be in touch shortly.
Please fill in all required fields.
