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A/R Financing Application

Secure form · Your data is kept confidential

Contact Information
Please enter your name.
Please enter your business name.
Please enter a valid email.
Please enter your phone number.
Required.
Accounts Receivable Details
Receivables Overview
Current total balance of all unpaid invoicesPlease enter your total A/R balance.
Typical value of a single invoice
%
Please enter the percentage over 90 days.
A/R financing typically requires business (B2B) debtors
Required.
Please select an option.
Required Documents
Please email the following documents to complete your application
Aged Accounts Receivable Report
Current A/R aging schedule showing all outstanding invoices by customer, broken down by 0-30, 31-60, 61-90, and 90+ day buckets.
Required
Aged Accounts Payable Report
Current A/P aging schedule showing all outstanding balances owed to vendors and suppliers.
Required
Supporting Documents (optional)

Upload any documents that may help with your application — tax returns, bank statements, financial statements, equipment appraisals, or other supporting materials. Up to 5 files, 10MB each. Accepted: PDF, DOC, DOCX, XLS, XLSX, JPG, PNG.

Click to browse or drag & drop files here

Up to 5 files · PDF, DOC, XLS, JPG, PNG · Max 10MB each

Signature *

By signing below, you certify that the information provided in this application is true and accurate to the best of your knowledge.

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🔒 Your information is encrypted, kept strictly confidential, and never sold or shared outside your financing request.

We'll respond within 1 business day · 914.419.3059

Application Received!

Thank you. A member of our team will be in touch within one business day.

Don't forget: Please email your Aged A/R and Aged A/P reports to mike@ntibfin.com with your business name in the subject line.

Questions? Call 914.419.3059.