Financing Application | ElevenEleven Capital Group

1

Product and financing capacity

Confirm the product and identify who will be legally responsible for the financing request.

* Required field

Product requested *

Requested financing amount * May not exceed the selected product price.

Are you applying as an individual or a corporate/legal entity? *

Individual applicantI will personally purchase and finance the selected product in my own legal name.

Corporate or legal entityA business or other legal entity will purchase and finance the selected product.

Name that should appear on the financing account * This must match the individual’s government identification or the entity’s formation records.

Your relationship to the applicant *

Current request

ProductNot selected

Product price—

Requested financing—

Applicant capacityNot selected

2

Applicant personal information

Tell us about the person completing and authorizing this application.

* Required field

Legal first name *

Middle name

Legal last name *

Suffix

Date of birth *Applicant must have legal capacity to enter the agreement.

Mobile phone *

Email address *

Confirm email address *

Residential street address *

Apartment or unit

City *

State *

ZIP code *

Housing status *

Monthly housing payment *

Years at current address *

3

Identity, employment, and financial profile

This section changes depending on whether the requested account is individual or business financing.

Secure information: Social Security information must be transmitted only through an encrypted application service. It should never be sent through ordinary email or stored in browser code.

Social Security number *Used for identity verification and authorized consumer-report access.

Confirm Social Security number *

Employment status *

Employer or income source *

Occupation or job title

Years with employer/source *

Gross monthly income *

Income frequency *

Other income you want consideredAlimony, child support, or separate-maintenance income does not need to be disclosed unless you want it considered.

Income description or additional explanation

Business application: The individual completing this application must identify the legal entity, provide ownership and control information, and confirm authority to bind the applicant.

Authorized signer Social Security number *Requested for identity verification and any authorized personal-credit review.

Your ownership percentage *

Gross annual personal income *

Personal guaranty availability *

4

Business and legal-entity information

Required only when a business or other legal entity will be the applicant.

Full legal business name *

DBA or trade name

Legal entity type *

Federal EIN / tax identification number *

State or jurisdiction of formation *

Formation date *

Years operating *

Business phone *

Business email *

Business website

Industry / primary business activity *

Physical business street address *A physical operating address is required. Do not enter only a P.O. box.

Suite or unit

City *

State *

ZIP code *

Gross annual business revenue *

Average monthly revenue *

Number of employees/contractors *

Years with primary business bank

Existing monthly business debt payments *

Number of individuals owning 25% or more *

Describe how the selected product will be used in the business *

Control person and beneficial ownership

Identify one person with significant responsibility to control, manage, or direct the entity. Additional owners may be collected during verification.

Control person first name *

Control person last name *

Title *

Date of birth *

Ownership percentage *

Phone *

Business verification documents

Document upload will be connected to the secure processor. Typical requested records may include:

Formation or registration documentSecure upload connection pending.

IRS EIN confirmation or tax documentSecure upload connection pending.

Recent business bank statementsSecure upload connection pending.

Authorized signer identificationSecure upload connection pending.

You selected individual financing. Business information is not required for this application.

5

Authorizations and required acknowledgments

Read each statement carefully before providing electronic consent.

Consumer-report authorization

By checking the authorization below, the applicant provides written instructions to ElevenEleven Capital Group, LLC and its authorized service providers to obtain and use consumer reports, credit scores, identity-verification information, fraud-prevention information, and related data for the purpose of evaluating this application, verifying identity, determining eligibility and terms, preventing fraud, servicing any resulting account, and conducting account review as permitted by law.

The initial eligibility review is intended to use a soft inquiry where the selected reporting provider supports that classification. A soft inquiry generally does not affect a consumer credit score. ElevenEleven will not intentionally request a hard inquiry without separate, conspicuous authorization. Credit-reporting agencies and scoring models control how inquiries appear in their own systems.

Business and identity verification

The applicant authorizes verification of information provided in this application, including identity, address, employment, income, business registration, beneficial ownership, tax identification, business address, revenue, banking relationships, public records, fraud indicators, and references. The applicant authorizes relevant third parties to release information reasonably necessary to evaluate or administer the request, subject to applicable law.

Equal credit opportunity

Credit decisions will not be based on race, color, religion, national origin, sex, marital status, age—provided the applicant has legal capacity to contract—receipt of income from a public-assistance program, or the good-faith exercise of rights under the Consumer Credit Protection Act.

Electronic records and signatures

The applicant consents to receive application disclosures, notices, decisions, agreements, and other records electronically at the email address provided. The applicant may withdraw electronic consent before account opening by contacting ElevenEleven, but withdrawal may require use of paper processes and may delay or prevent electronic completion.

Accuracy and continuing duty

The applicant certifies that all information is true, complete, and accurate and agrees to promptly notify ElevenEleven of any material change before a final decision or account opening. Submission does not guarantee approval, a particular amount, or specific terms.

I authorize the consumer-report and identity-verification review described above. *

I authorize verification of the personal, business, income, ownership, and account information provided. *

I consent to electronic records, disclosures, notices, and signatures. *

I acknowledge that I have received or had the opportunity to review the Privacy Notice and Terms of Use. *

I certify under penalty of applicable law that the information I provided is accurate and that I am authorized to submit this application. *

Optional: I agree to receive application-status calls or text messages at the number provided. Consent to marketing messages is not a condition of credit.

Electronic signature — type full legal name *

Signature date *

Initials *

6

Review and secure submission

Review the application summary before transmitting it through the approved secure processor.

Secure-processing connection required. This demonstration sends only the selected product, product price, applicant name, and applicant type to the next page through temporary browser-session storage. It does not transmit or store Social Security numbers, EINs, dates of birth, income details, financial information, or uploaded documents. A production launch still requires an encrypted, access-controlled processor and secure backend.

I reviewed the information and confirm that it is complete and accurate. *

Apply with clarity, privacy, and informed consent.