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Loan details

Select how much you need and how
long you want to repay it.

Loan Amount *

Term Length *

12 months 24 months 36 months 48 months 60 months 72 months

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Tell us about yourself

We need a few details to verify
your identity.

Business Details

First Name *

Last Name *

Date of Birth *

Social Security Number(SSN) *

Phone Number *

Email Address *

Address

Street *

City *

State *

ZIP Code *

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Verify your identity

Upload your government-issued ID
and take a selfie for verification.

Your documents are encrypted and used solely for identity verification. We delete uploaded images after verification is complete.

Government Issued ID

ID Type *

Driver’s License State ID Passport Military ID

Front of ID

Upload or take a photo of the front
JPG, PNG — Max 10MB

Back of ID

Upload or take a photo of the back
JPG, PNG — Max 10MB

Face Verification

Take a selfie or upload a clear photo of your face. This helps us confirm the ID belongs to you.

Take a Selfie or Upload Photo

Look directly at the camera · Ensure good lighting · Remove hats and glasses
JPG, PNG — Max 10MB

Ensure your ID is valid, text is clear, and the photo matches your selfie. Blurry images may delay your application.

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Employment and Income details

This information helps us assess your
eligibility and repayment ability.

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Connect your bank account

Securely connect your bank to verify your income
and speed up your loan approval.

Fast and Secure Bank Connection

Connect your bank account to instantly verify income and
avoid uploading documents

Connect Bank

Takes less than 60 seconds

Bank level encryption

Read only access

Never store login details

No money movement

Bank connected successfully

Your bank account has been securely connected and income
verification is complete.

Bank Account Connected

Bank level encryption

Read only access

Never store login details

No money movement

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IRS Income Verification (4506-C)

Authorize Banrox to request your tax transcripts
from the IRS to verify income.

The IRS Form 4506-C authorizes us to request your tax return transcripts directly from the IRS. This is a standard requirement for
loan applications and helps us verify the income information you provided.

IRS Form 4506-C

IVES Request for Transcript of Tax Return

Signature Required

Authorization to Request Tax Information

By signing this form, I authorize Banrox Inc. and its authorized agents to request and receive my tax return information from the Internal Revenue Service (IRS) for the purpose of evaluating my loan application.

Scope of Authorization

This authorization covers the following tax return transcripts:
• Federal income tax returns (Form 1040) for the most recent two (2) tax years
• Wage and income information (W-2, 1099 series)
• Account transcripts showing tax payments and adjustments

Duration and Limitations

This authorization is valid for 120 days from the date of your signature. The information obtained will be used solely for the purpose of processing your loan application with Banrox Inc.

Taxpayer Information

Name:
SSN:
Address:

Right to Revoke

You may revoke this authorization at any time by notifying Banrox Inc. in writing. Revocation does not affect information already obtained under this authorization.

Penalties

I understand that any falsification of information on this form may be punishable under federal and state law, including but not limited to fines and imprisonment.

I have read and understand the IRS Form 4506-C and authorize Banrox Inc. to obtain my tax return transcripts
from the IRS.

E-Signature

Signature *

Date

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Review your application

Please check your details
before submitting.

Loan Information

Loan amount: $0

Term length: -

Personal Information

Name: -

Date of birth: -

SSN: -

Phone: -

Email: -

Address: -

Identity Verification

ID Type: -

Verification Status: Verified

Employment and Income Information

Employment Status: -

Name: -

Job title: -

Work email: -

Employment start date: -

Monthly income: -

Income source: -

Pay Frequency: -

Bank & Tax Verification

Bank status: Connected

4506-C: Signed

I agree to the Privacy Policy. I certify that I have read and understood the Consents. I agree to the terms and conditions and authorize Banrox Inc. to perform all actions described herein.

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Your loan decision

Review your approved offer and explore
additional options from our partners.

Your Banrox Offer

Offer Amount

$50,000

Accept Banrox offer

Interest rate(APR)

9.5%

Loan term

24 months

Monthly payment

$2,450

Total repayment

$62,800

No hidden fees

Fixed monthly payments

Early repayment allowed

Additional Offers from Partners

Sponsored

Partner offers are provided by third-party lenders. Banrox is not responsible for their terms, rates, or decisions. Rates and terms may vary based on your credit profile.

Lending Tree

Online Lender

APR

10.2%

Monthly payment

$2,331

Loan term

24 months

View Offer

SoFi

Online Lender

APR

11.5%

Monthly payment

$2,362

Loan term

24 months

View Offer

Upstart

Online Lender

APR

8.9%

Monthly payment

$2,270

Loan term

24 months

View Offer

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Review and Sign Loan Documents

Please review each document carefully
and sign to proceed with your loan.

You must review and sign all required documents below. Take your time to read each document carefully. You can download copies
for your records after signing.

Business Loan Agreement

Banrox Inc. — Loan #PKBIZ-2026-00089

Signature Required

Business Tax Transcript Authorization

By signing, I authorize Banrox Inc. to request business tax transcripts from the IRS for the entity identified below.

Scope

Business tax returns (Form 1120, 1120-S, or 1065) for the most recent two (2) tax years.

Entity Information

Name:
SSN:
Address:

Duration

Valid for 120 days from signature date.

Business Tax Transcript Authorization

By signing, I authorize Banrox Inc. to request business tax transcripts from the IRS for the entity identified below.

Scope

Business tax returns (Form 1120, 1120-S, or 1065) for the most recent two (2) tax years.

Entity Information

Name:
SSN:
Address:

Duration

Valid for 120 days from signature date.

Business Tax Transcript Authorization

By signing, I authorize Banrox Inc. to request business tax transcripts from the IRS for the entity identified below.

Scope

Business tax returns (Form 1120, 1120-S, or 1065) for the most recent two (2) tax years.

Entity Information

Name:
SSN:
Address:

Duration

Valid for 120 days from signature date.

Authorized Signer (on behalf of business) *

Date

Personal Guarantee Agreement

Unconditional Personal Guarantee

Signature Required

Business Tax Transcript Authorization

By signing, I authorize Banrox Inc. to request business tax transcripts from the IRS for the entity identified below.

Scope

Business tax returns (Form 1120, 1120-S, or 1065) for the most recent two (2) tax years.

Entity Information

Name:
SSN:
Address:

Duration

Valid for 120 days from signature date.

Business Tax Transcript Authorization

By signing, I authorize Banrox Inc. to request business tax transcripts from the IRS for the entity identified below.

Scope

Business tax returns (Form 1120, 1120-S, or 1065) for the most recent two (2) tax years.

Entity Information

Name:
SSN:
Address:

Duration

Valid for 120 days from signature date.

Business Tax Transcript Authorization

By signing, I authorize Banrox Inc. to request business tax transcripts from the IRS for the entity identified below.

Scope

Business tax returns (Form 1120, 1120-S, or 1065) for the most recent two (2) tax years.

Entity Information

Name:
SSN:
Address:

Duration

Valid for 120 days from signature date.

Personal Guarantor Signature *

Date

ACH Authorization — Business Account

Electronic Fund Transfer Authorization

Signature Required

Business Tax Transcript Authorization

By signing, I authorize Banrox Inc. to request business tax transcripts from the IRS for the entity identified below.

Scope

Business tax returns (Form 1120, 1120-S, or 1065) for the most recent two (2) tax years.

Entity Information

Name:
SSN:
Address:

Duration

Valid for 120 days from signature date.

Business Tax Transcript Authorization

By signing, I authorize Banrox Inc. to request business tax transcripts from the IRS for the entity identified below.

Scope

Business tax returns (Form 1120, 1120-S, or 1065) for the most recent two (2) tax years.

Entity Information

Name:
SSN:
Address:

Duration

Valid for 120 days from signature date.

Business Tax Transcript Authorization

By signing, I authorize Banrox Inc. to request business tax transcripts from the IRS for the entity identified below.

Scope

Business tax returns (Form 1120, 1120-S, or 1065) for the most recent two (2) tax years.

Entity Information

Name:
SSN:
Address:

Duration

Valid for 120 days from signature date.

Authorized Signer *

Date

Promissory Note

Business Borrower's Promise to Pay

Signature Required

Business Tax Transcript Authorization

By signing, I authorize Banrox Inc. to request business tax transcripts from the IRS for the entity identified below.

Scope

Business tax returns (Form 1120, 1120-S, or 1065) for the most recent two (2) tax years.

Entity Information

Name:
SSN:
Address:

Duration

Valid for 120 days from signature date.

Business Tax Transcript Authorization

By signing, I authorize Banrox Inc. to request business tax transcripts from the IRS for the entity identified below.

Scope

Business tax returns (Form 1120, 1120-S, or 1065) for the most recent two (2) tax years.

Entity Information

Name:
SSN:
Address:

Duration

Valid for 120 days from signature date.

Business Tax Transcript Authorization

By signing, I authorize Banrox Inc. to request business tax transcripts from the IRS for the entity identified below.

Scope

Business tax returns (Form 1120, 1120-S, or 1065) for the most recent two (2) tax years.

Entity Information

Name:
SSN:
Address:

Duration

Valid for 120 days from signature date.

Authorized Signer *

Date

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