Application

Business Information
*official name	"trading as" name
*street address	*city, state, zip
*contact person	*phone
fax	email
*full years in business	*business structure
*nature of business	federal ID number
Owner Information
*full name	*title
*home street address	*city, state, zip
*social security number	*% of ownership %
.	.
2nd owner full name	title
home street address	city, state, zip
social security number	% of ownership %
Bank & Credit References
business bank name	phone
account number	contact person
.	.
credit reference #1	phone
account number	contact person
.	.
credit reference #2	phone
account number	contact person
Equipment Information
*equipment cost	*new or used?
*equipment description	Funds needed to purchase equipment OTHER than this equipment.
Comments / Special Requests
Is there anything else that you would like us to know?
By clicking the Apply button above, you understand and agree to the following: When we receive your Application we will review your credit history, both personal & business, to determine your eligibility for approval. When necessary, this review may include, but not be limited to, a review of the personal credit reports of the owners, a D&B report of the business, and contacting bank & credit references. We may reject this application if our review reveals that your business does not meet our requirements, at our sole discretion. If approved, your lease or EFA may be used to finance approved equipment, acquired from approved vendors, at our sole discretion.