Application Form

"*" indicates required fields

Business Information

Desired Loan Amount*

Total amount needed to acquire the equipment or finish the real estate project

Legal Business Name*

Copy of current business license required

Business Telephone*

Type of Loan Requested

If more than one apply. Select one and then let us know seperately you have additional need.

Business Description*

A brief overview of your company services or products provided.

Name of Primary Bank*

Please attach a voided check with the document uploads

Business Address*

Street Address City State ZIP Code

Years in Business*

Annual Revenue*

Business Structure*

Company Website*

Federal Tax ID #*

Trade Reference / Contact Information*

Trade Reference #2 / Contact Information*

Purpose of Loan Details

Describe the purpose of this Loan*

Provide a detailed description of the property, equipment or collateral for this loan*

Do you have a recent appraisal of the property or equipment?*

All used equipment will require pictures of the equipment and a condition report or appraisal

Exact Location of the property*

Attach details of the project, property or development

Required Attachments*

Drop files here or

Max. file size: 64 MB.

Scan and upload the following 1) 4-months bank statements, 2) Copy of Drivers License Front/Back 3) Invoices for all equipment 4) Copy of current business license 6) Pictures of the equipment if used 7) voided company check 8) Financials if they have been prepared

Signatures

Signature*

Name/Title*

Date*

Owner Information

Name*

First Last

SSN #*

% Ownership (For 15% Owners )*

Estimated FICO Score

Cell Phone #*

Email Address*

Enter Email Confirm Email

Date of Birth*

Address*

Street Address City State ZIP Code

Own or Rent*

Monthly Payment or Rent*

How Long at This Address*

Owner #2

Add Owner #2 Information

Owner 2 Information

Name*

First Last

Social Security Number*

% Ownership (For 15% Owners )*

Estimated FICO Score*

Cell Phone #*

Email Address*

Date of Birth

Title

Address*

Street Address City State ZIP Code

Patriot Act Compliance Information

Applicants Drivers License Number*

Issuing State

Expiration Date*

Signature of Applicant*

Date*

Signature of Co-Applicant

Date

Number

Date

Untitled

Comments

This field is for validation purposes and should be left unchanged.

Equipment Application Checklist

Before beginning your online application for an equipment lease, please review the list of information you will to need to have on hand, information needed while completing the application.

Information To Have On Hand

This application can be completed in under 10-minutes if you have all of the information ready and scanned. That includes copies of equipment invoices, drivers license, and the first page of 3 months bank statements. We suggest that you gather all of this information before beginning to get the application submitted and your finance team will go to work to get you approved and funded.

Business Information:

Your Privacy Is Important To Us

The proper management and use of personal data is first and foremost for us. Any information requested will be used for the exclusive purpose of evaluating your request for equipment funding and to get your equipment loan approved and funded. We will not share or disclose your personal or corporate information to anyone other than our lending partners and then only for the purpose of making a funding decision on your behalf.