SCM Application Form

Equipment Finance Application

Company Information
Company Name
Legal Name
Applying as

Other
Business Location

Billing Street Address

Billing CityBilling State

Billing Zip Code
Shipping Address (if different from Billing Address)
If same as billing address, please leave blank
Federal Tax ID Number
9 digit number. Also known as EIN.
Years in business
Year of incorporation - Ex: 1997

Vendor and Equipment Information
Vendor Name
Dealer or Manufacturer
Type of Equipment
What type of equipment or software are you applying for?
Cost of Equipment
We understand this may change. Please estimate if you do not have the exact pricing.
Desired Monthly Term
Length of financing term
Equipment Quote

Upload a File
If you have a copy of the equipment quote, please upload it here: Cancelof

Owner/Personal Information
Name of Owner (1)

First NameLast Name
Title
Percentage of Ownership %
E-mail of Applicant
Phone number of Applicant

Area CodePhone Number
Social Security Number
This information is secure.
Birthdate:

MonthDayYear
Date
Are you applying for a corporate only approval?
Address of Applicant

Home Street Address

Street Address Line 2

CityState

Zip Code
The undersigned individual, who is either a principal of the credit applicant or a sole proprietor of the credit applicant recognizing that his or her individual credit history may be a factor in the evaluation of the credit history of the applicant hereby consents to and authorizes the use of a consumer credit report on the undersigned by the above named business credit grantor and its assigns, from time to time as may be needed, in the credit evaluation process. I agree that the information herein are true and correct.
Signature
Is there more than one owner?
Have you or your company ever financed in the past?
Annual Revenue:
Not Required

Additional Owner Information

If there is only one owner, please click Next at the bottom of this section.
Name of Owner (2)
Birthdate:

MonthDayYear
Date
Signature
The undersigned individual, who is either a principal of the credit applicant or a sole proprietor of the credit applicant recognizing that his or her individual credit history may be a factor in the evaluation of the credit history of the applicant hereby consents to and authorizes the use of a consumer credit report on the undersigned by the above named business credit grantor and its assigns, from time to time as may be needed, in the credit evaluation process. I agree that the information herein are true and correct.
Name of Owner (3)
Signature
The undersigned individual, who is either a principal of the credit applicant or a sole proprietor of the credit applicant recognizing that his or her individual credit history may be a factor in the evaluation of the credit history of the applicant hereby consents to and authorizes the use of a consumer credit report on the undersigned by the above named business credit grantor and its assigns, from time to time as may be needed, in the credit evaluation process. I agree that the information herein are true and correct.

Accept and Submit my Application
The information provided in this application shall not be shared to anyone else and is kept confidential.

If your application for business credit is denied, you have the right ot a written statement of the specific reasons for the denial. If such statement is requested in writing within 60 days from the date you are notified of the denial decision. To obtain the statement, please contact 1-800-292-1837. We will send you a written statement of reasons for the denial within 30 days of receiving the request. NOTICE: The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant’s income drives from any public assistance program, or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with the law concerning this creditor is the Federal Trade Commission, Equal Credit Opportunity, Washington, DC.
I hereby certify that the information contained in this application is true and accurate to the best of my knowledge, and I hereby authorize SCM's banks, trade references and financial institutions the right to release credit information to SCM GROUP or its assigns.
Date and Time
Should be Empty: