Online Factoring Application Form

July 1, 2012

Please fill out the Application Form completely.

Company Information

Physical Address

Postal Address

Company Contact Info

Officer #1

Officer #2

Banking Information

Support Information

Tax Information

Accounts Receivable Information

Legal Statement

I hereby attest that the information provided is accurate in all material respects and I authorize MP Star to make any uniform commercial code filings necessary. In addition, I understand that investigative background inquiries are to be made concerning the company and the officers of the company including consumer reports, investigative consumer reports, criminal, driving and other reports. These reports may include information as to the character, credit worthiness and general reputation of the company and its officers. Further, I understand that you will be requesting information from various federal, state and other agencies which maintain records concerning past activities relating to driving, credit, criminal, civil and other experiences as well as claims involving the company and officers from the files of insurance companies. I authorize, without reservation, any party or agency contacted by MP Star or its agent to furnish the above mentioned information:
Gage Price
Gage is the president of MP Star Financial, founding the company in 1995 to provide invoice factoring and other asset-based lending services, focusing on freeing up cash flow for small to medium-sized businesses. Gage earned his MBA at The Stern School of Business in New York City.