NITH ADVANCE APPLICATION Name * First Name Last Name Email Phone (###) ### #### Home Address * SSN (Soft Credit Check) * Business Name * EIN NUMBER * Monthly Business Revenue * $0.00-$50,000.00 $50,001.00- $150,000.00 $150,001.00- $400,000.00 $400,001.00+ Business Address * How much capital are you looking for? * Usage of Additional Capital Thank you!