Hydro Capital Solutions · Application

Cultivation Financing Application

Complete the application below. Required fields are marked. Your information is submitted to our lending partner for review, approval, and funding decisions. We'll route your file to the program that fits — typical turnaround is two to five business days.

Prefer paper? ↓ Download the PDF version · fill by hand · email to seanb@hydrosupply-co.com

Business / Applicant Details

Legal Business Name + DBA *

Tax ID (EIN) *

Business Address *

City *

State *

Zip *

Business Phone *

Date Established *

Owner 1 — Required

Full Name *

Position *

Ownership % *

Cell Phone *

Email *

Home Address *

City *

State *

Zip *

SSN (last 4) *

Birth Date *

Owner 2 — Optional

Full Name

Position

Ownership %

Cell Phone

Home Address

City

State

Zip

Transaction Summary

Finance Amount Requested *

Use of Funds *

Equipment Purchase Working Capital Other

Describe the use of funds and how this financing benefits your business *

Available Collateral (optional)

Utility Rebates

Approved utility rebates strengthen your file. Participating rebate partners include What Rebates and Green Rebates. If you've got an approved rebate or want help applying for one, let the lender know up front.

Approved utility rebate status

Approved / expected rebate amount

Rebate partner (if working with one)

Utility company + program (optional)

Bank Information

Banker Name

Banker Phone

Banker Email

Equipment / Vendor Information

Equipment / Vehicle to be Financed (1)

Price (1)

Equipment / Vehicle to be Financed (2)

Price (2)

Vendor / Seller

Vendor Contact + Phone

Vendor Address

City

State

Zip

Documents

After submission, you'll receive a confirmation email at the address you provide. Please reply to that email with three months of full business bank statements and the equipment invoice (if applicable). For requests over $500K, additional financials will be needed — we'll send a checklist with your confirmation.

By signing below, I declare under penalty of perjury that all information in this application is true, correct, and complete. I authorize the creditor (and any assignee or potential assignee) to verify any of the information from whatever source deemed appropriate, including obtaining and reviewing my personal credit profile from a national credit bureau. The Federal Equal Credit Opportunity Act prohibits discrimination on the basis of race, color, religion, national origin, sex, marital status, age, or because all or part of an applicant's income derives from any public assistance program.

Type Your Full Name as Signature *

Date *