Application
Business Information
Company Name*
Time in Business*
Address Line 1*
City*
State*
Zip Code*
Company Email*
Company Phone Number*
EIN / TAX ID Number*
Select Type of Business*
Sole Proprietorship
Corporation
LLC
Partnership
Borrower Information
First Name*
Last Name*
Date of Birth*
Percent Ownership*
Social Security Number*
Cell Phone*
Email Address*
Method of Contact*
Email
Phone
Address Line 1*
City*
State*
Zip Code*
Co-Applicant Information
First Name
Last Name
Date of Birth
Percent Ownership
Social Security Number
Cell Phone
Email Address
Method of Contact
Email
Phone
Address Line 1
City
State
Zip Code
Loan Request Information
Amount of Equipment*
Max Down Payments*
Equipment & Seller Info*
Upload Documents* (PDF)
Select Files
Add Another File Upload
Agreements
Additional information may be required based upon time in business, current credit standing, and application amount. Each individual signing below certifies that the information provided in this credit application is accurate and complete. Each individual signing below authorizes you or any lender or funding source which may be utilized (collectively referred to as “Lenders”) to obtain information from the references listed above and obtain a consumer credit report that will be ongoing and relate not only to the evaluation and/or extension of the business credit requested, but also for purposes of reviewing the account, increasing the credit line on the account (if applicable), taking collection action on the account, and for any other legitimate purpose associated with the account as may be needed from time to time. Each individual signing below further waives any right or claim which such individual would otherwise have under the Fair Credit Reporting Act in the absence of this continuing consent.
Signature
Clear Signature
