Business Credit Application
Please Complete Our Simple and Secure One-Page Application
BUSINESS INFORMATION
Legal Business Name
*
Federal Tax ID #
*
Physical Address of Business
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code & County
Business Phone Number
*
Please enter a valid phone number.
Business Fax Number
Please enter a valid fax number.
e-Mail Address
*
example@example.com
State of Incorporation / Organization of Business
*
Type of Business
*
Corporation
Partnership
Proprietorship
Limited Liability Company
Other
Nature of Business
Briefly describe your business
Date Business Started
*
-
Month
-
Day
Year
Years Under Current Ownership
*
PRINCIPAL INFORMATION(ALL Principals, Owners, Guarantors)
Complete for each Principal
*
BANKING INFORMATION(Primary Operating Account)
Operating Account Information
*
Please upload last 3 months of bank statement Summary Page if available
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VENDOR INFORMATION
Vendor Company Name
*
Vendor Contact Name
*
Vendor Address
*
Phone Number
*
Please enter Vendor Contact phone number.
Vendor Website
*
e-Mail
*
Please enter Vendor Contact e-mail address
Please upload a copy of the Vendor Quote if available
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FINANCING INFORMATION
Type of financing being requested?
*
Please Select
Equipment Financing
Software Financing
Working Capital
Project Financing
Other
Term of financing being requested?
*
Please Select
12 Months
24 Months
36 Months
48 Months
60 Months
72 Months
84 Months
Please describe asset to be financed.
*
Amount to be financed?
*
Please enter total amount of financing needed.
Address where asset will be located
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Asset Condition
*
New
Used
Refurbished
DECLARATION / RELEASE
By signing below, the applicant and its owners/partners/members/guarantors/managers (collectively the “Applicant”) agree that all information provided by the Applicant is true, correct, and complete and that the property financed or acquired through any credit extended by Great American Capital Group, LLC (“GACG”), or its designee or assignee, will be used solely for commercial purposes. The Applicant agrees to provide e-Mail addresses and authorizes GACG to e-Mail Applicant from time to time with information about financing, promotions, and other offers. The Applicant acknowledges that commercial and personal credit histories may be a factor in the evaluation of the Applicant’s request for credit and authorizes GACG (or its designee or assignee) to investigate Applicant’s credit information from all available sources, including, but not limited to, consumer and business credit reporting agencies for underwriting and collection processes. The Applicant authorizes GACG (or its designee or assignee) to update Applicant’s credit information periodically and share such information with financing partners and professional advisors as may be required on behalf of Applicant. Great American Capital Group, LLC is NOT the manufacturer, seller or distributor of the property being considered for financing and makes no representation or warranty concerning said property.
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