Equipment Loan Application
Basic Info
Your Name
First Name
Last Name
Your Email
example@example.com
Your Phone Number
Please enter a valid phone number.
BUSINESS INFORMATION/APPLICANT
Legal Business Name
Trade Name
Cross-Corporate Guarantor
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Phone Number
Please enter a valid phone number.
Business Fax
Business Website
Years in Business
Business Structure
Corporation
LLC
Sole Proprietorship
Partnership
Other
Fed Tax ID #
Number of Employees
Gross Annual Revenue
Business Description
PERSONAL INFORMATION-Principals/Officers/Guarantors
Principal/Officer/Guarantor #1
Principal/Officer/Guarantor #1 Name
First Name
Last Name
Title
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Own or Rent?
Own
Rent
How long?
Home Phone Number
Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
SSN
DOB
-
Month
-
Day
Year
Date
Email
example@example.com
Ownership %
Principal/Officer/Guarantor #2
Principal/Officer/Guarantor #2 Name
First Name
Last Name
Title
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Own or Rent?
Own
Rent
How long?
Home Phone Number
Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
SSN
DOB
-
Month
-
Day
Year
Date
Email
example@example.com
Ownership %
COMPANY BANK REFERENCE
Please attach last three months’ business bank statements(typically 1st page only with activity summary sections required)
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VENDOR AND EQUIPMENT INFORMATION
Vendor Name
Vendor Phone #
Please enter a valid phone number.
Contact
Equipment Description
Year
Make
Model
Mileage
Sale Price
Down Payment
Loan Amount Requested
Term
New or used?
New
Used
Replacement or Addition?
Replacement
Addition
Quantity
DECLARATION & NOTICE
The undersigned acknowledges the statements on this application are true, correct and accurate to the best of my knowledge, and the information contained herein may be used byPreferred Capital Funding, Inc., to make credit decisions. The undersigned authorizes Preferred Capital Funding, Inc. to assign or transfer this application to our affiliates.Preferred Capital Funding, Inc. and its affiliates, may obtain any consumer and/or business information from banks, credit unions, as well as other credit reporting services andauthorizes them to furnish such information to Preferred Capital Funding, Inc. Applicant/Join Applicant(s) authorize the bank and business references, as well as any of my/ourlessors, to give any and all necessary information to Preferred Capital, its assignees or transfers. The undersigned acknowledges that this signed application is an application forcredit only, and the final terms of the financing agreement will be based on the documents themselves. No commitment exists until the Applicant/Join Applicant(s) receives thesame in writing from Preferred Capital.
Applicant #1 Full Name
First Name
Last Name
Applicant #1 Title
Applicant #1 Signature
Applicant #2 Full Name
First Name
Last Name
Applicant #2 Title
Applicant #2 Signature
Today's Date
-
Month
-
Day
Year
Date
Submit
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