COMMERCIAL CREDIT APPLICATION
BUSINESS INFORMATION/APPLICANT
Legal Business Name:
*
Trade Name:
*
Cross-corporate Guarantor:
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Fax Number
Please enter a valid phone number.
Vehicle Garage Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Federal Tax ID #:
*
Business Structure:
*
Corporation
LLC
Sole Proprietorship
Partnership
Other
DOT#
Current Fleet Size:
*
Number of Employees
*
Gross Annual Revenues $:
*
Business Website
*
Years In Business
*
Business Description:
*
PERSONAL INFORMATION-Principals/Officers/Guarantors
Name:
*
Title:
*
Address:
*
City:
*
State:
*
Zip:
*
Own or Rent Your Home
*
Own
Rent
How Long?
*
Cell:
*
Home Ph:
Soc Sec.#:
*
Date of Birth
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Ownership%:
*
2nd Applicant's PERSONAL INFORMATION-Principals/Officers/Guarantors
Name:
Title:
Address:
City:
State:
Zip:
Do you Own or Rent Your Home
Own
Rent
How Long?
Home Ph:
Soc Sec.#:
Cell:
Date of Birth
-
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 & EQUIPMENT INFORMATION
Vendor Name:
Vendor Phone #:
Contact:
Year:
Equipment Description
Make:
Equipment Description
Model:
Equipment Description
Mileage:
Equipment Description
Sale Price:
Equipment Description
Down Payment:
Equipment Description
Loan Amt. Requested:
Equipment Description
Term:
Equipment Description
Description
New
Replacement
Used
Addition
Quantity:
DECLARATION & NOTICE
The undersigned principal(s) certify that he/she has full authority to act on behalf of the applicant. The applicant (if a sole proprietor), principals, and guarantors each certify that all of the information contained in this application and on each document required to be submitted in connection herewith are true and complete. The applicant (if a sole proprietor) and each guarantor hereby authorize Advantage Funding Solutions and or its assigns to obtain his/her individual credit report from the national credit bureau(s) for the purpose of considering this credit application and any subsequent update, renewal, collection or additional credit. A photocopy or facsimile of this authorization shall be as valid as the original. Further, the applicant and guarantors hereby authorize each bank and finance reference listed in this credit application to release information about the applicants and guarantors to Advantage Funding Solutions or its designee, as requested by Advantage Funding Solutions or its designee. If your application for business credit is denied you have the right to a written statement of the specific reasons for the denial, within 60 days from the date you are notified of our decision. Advantage Funding Solutions will send you a written statement of the reason(s) for the denial within thirty (30) days of receiving your request for the statement. 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); or because all or part of the applicant’s income derives 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 this law concerning this creditor is the Office of the Bureau of Consumer Financial Protection, 1700 G Street, NW, Washington, DC 20006. To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. This means that when you open an account, Advantage Funding Solutions will ask you for your name, address, date of birth, and other information that will allow us to identify you. Advantage Funding Solutionsmay also ask to see a government issued ID such as a driver’s license, non-driver’s ID, passport, or other identifying documents. If you intend to act as a Guarantor for the credit of one or more primary applicant(s) and are providing information to Advantage Funding Solutions for that purpose, please be advised that if Advantage Funding Solutions determines that you do not meet its standards of creditworthiness for the amount and/or kind of credit desired by the primary applicant, Advantage Funding Solutions is required by law to provide the specific reasons for such adverse action to the primary applicant and NOT to you. Unless you are willing to share the specific reasons for adverse action based upon your credit history with the primary applicant you should not sign this application or submit a Personal Financial Statement to Advantage Funding Solutions.
Printed Name
*
Signature
*
Clear
Title
*
Date
*
-
Month
-
Day
Year
Date
2nd Applicant
Printed Name
Signature
Clear
Title
Date
-
Month
-
Day
Year
Date
*
Submit
Should be Empty: