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KAPED One Application
IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT
To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.
Owner 1
First Name
Middle Initial
Last Name
Email
Contact Number
Home Address
Home Address 2
City
State
Zip Code
Date of Birth
SSN
Drivers License Number
Drivers License State
Drivers License Date of Issuance
Drivers License Exp.
Owner 2
First Name
Middle Initial
Last Name
Email
Contact Number
Home Address
Home Address 2
City
State
Zip
Date of Birth
SSN
Drivers License Number
Drivers License State
Drivers License Date of Issuance
Drivers License Exp.
Business Information
Company Name
EIN
Company Address
Website
SIC Code
Start Date
Ownership
Entity Type
Business Description
Requested Services, Billing, and Payment Terms
Subject to the terms of the agreement, and acceptance by KAPED of your application, KAPED will arrange for establishment of an account using a virtual card web based solution that allows company to request single use card numbers. Please select the desired KAPED solution(s) below (all subject to availability and underwriting and final approval by KAPED)
PAYMENT: Company will remit all funds due to KAPED by debit ACH. "Debit ACH" means a debit initiated by KAPED against an account designated by company
Requested Credit $
Terms:
Secured Account
Requested Services
Secured Credit Card
Kapital
Merchant Account
Bank Information (To be used for payments via ACH debit initiated by KAPED)
Bank Name
Name on Checking Account
Routing Number
Bank Account Number
Contact Name
Phone Number
15
30
Personal Guarantee
In exchange for KAPED'S and its sponsoring bank's (the "Guaranteed Parties") acceptance of the Agreement, the undersigned unconditionally and irrevocably guarantees the full payment and performance of Customer's obligations under the foregoing Agreement as modified from time to time, whether before or after termination or expiration of the Agreement and whether or not the undersigned has received notice of any amendment of such Agreement. The undersigned waives notice of default by Customer and agrees to indemnify the Guaranteed Parties for any and all amounts due from Customer under the Agreement. The Guaranteed Parties shall not be required to first proceed against Customer to enforce any remedy before proceeding against the undersigned. This is a continuing personal guaranty and shall not be discharged or affected for any reason. The undersigned understands that this is a personal guaranty of payment and not of collection and that the Guaranteed Parties are relying upon this Personal Guaranty in entering into the foregoing Agreement.
Name
Title
Date
I understand & accept personal liability
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