NorthPoint Credit Application

Credit Application
Please complete all required fields in the application.
Please enter your business's Federal ID to sign this application.
Please enter your Federal ID number
Placeholder for FID reset
Current signer variable

Company Information
Legal Business Name*
Business Contact Person*

First NameLast Name
Business Contact E-mail*
example@example.com
Years in Business
Years Under Present Ownership
Years in Business
Years under Present Ownership
Company Address*

Company Street Address

Company Street Address Line 2

Company CityCompany State

Company Zip CodeCompany Country
Gross Annual Revenue/Sales*
Number of Employees *
Company Phone Number*
Federal ID Number*
Company Type*
Company Type

C CorpS CorpLLCSole PropOther
Please specify "other" company type

Officer/Owner Information
Officer Name*

First NameLast Name
Officer Title*
Officer Social Security #*
Officer Percent Ownership
Officer E-mail*
example@example.com
Officer Credit Score
Officer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Would you like to add another Officer/Owner to this application?

YesNo
Enter the name and email address for the second officer/owner and they will receive a link to submit their signature on the application once you have completed and signed.
Officer 2 Name*

First NameLast Name
Officer 2 Percent Ownership
Officer 2 E-mail*
example@example.com
Officer 2 Phone Number*
Do you want to provide bank/trade reference info at this time?

YesNo

Bank & Trade Reference
Bank name
Bank Account #
Bank Contact Person
Bank Phone Number
Trade Reference
Trade Account #
Trade Contact Person
Type a question
Trade Phone Number

Equipment Information
Equipment Description
Equipment Type
Equipment Estimated Cost
Desired Term (in months)
Type:

New equipmentUsed equipment
Opportunity Name
Desired payment frequency
Equipment Vendor Contact
Equipment Vendor Name
Equipment Vendor Email
example@example.com
Equipment Vendor Phone

Agreement

(Please review and accept the following terms and agreements - should you have any questions please contact us)
I/We for ourselves and as owner(s)/officer(s)/partner(s)/guarantor(s) of the Applicant certify that all of the information set forth in the Application (and in any other documents submitted in connection with this Application) may be relied upon as being true and correct.

I/We agree to promptly notify Northpoint Commercial Credit, LLC of any changes.

I/We understand that this Application and attachments will remain the property of Northpoint Commercial Credit, LLC, even if the loan is declined.

I/We for ourselves and as owner(s)/officer(s)/partner(s)/guarantor(s) of the Applicant authorize Northpoint Commercial Credit, LLC and its assigns or potential assigns, financing sources or potential financing sources to obtain any information Northpoint Commercial Credit, LLC and its assigns or potential assigns, financing sources or potential financing sources requires relating to my/our creditworthiness from any source, including a credit reporting agency, any time during the term of the loan and while any balance is outstanding or if Northpoint Commercial Credit, LLC and its assigns or potential assigns, financing sources or potential financing sources updates, renews or extends this loan.

I/We for ourselves and as owner(s)/officer(s)/partner(s)/guarantor(s) of the Applicant certify that the proceeds of this loan if approved will be for business use only and understand a facsimile, electronic, or other copy of this document shall be valid as the original.
Agreement and Terms

I/We agree to promptly notify Northpoint Commercial Credit, LLC of any changes.
Agreement and Terms

I/We understand that this Application and attachments will remain the property of Northpoint Commercial Credit, LLC, even if the loan is declined.
Agreement and Terms

I/We for ourselves and as owner(s)/officer(s)/partner(s)/guarantor(s) of the Applicant authorize Northpoint Commercial Credit, LLC and its assigns or potential assigns, financing sources or potential financing sources to obtain any information Northpoint Commercial Credit, LLC and its assigns or potential assigns, financing sources or potential financing sources requires relating to my/our creditworthiness from any source, including a credit reporting agency, any time during the term of the loan and while any balance is outstanding or if Northpoint Commercial Credit, LLC and its assigns or potential assigns, financing sources or potential financing sources updates, renews or extends this loan.
Agreement and Terms

I/We for ourselves and as owner(s)/officer(s)/partner(s)/guarantor(s) of the Applicant certify that the proceeds of this loan if approved will be for business use only and understand a facsimile, electronic, or other copy of this document shall be valid as the original.
I agree to the above stated terms and agreements*
Digital Signature Name*

First NameLast Name
Digital Signature Date*

MonthDayYear
Date
Signature
Name of second signer

First NameLast Name
Title of second signer
Social security # of second signer*
Email of second signer
example@example.com
% ownership of second signer
Digital Signature Name 2

First NameLast Name
Digital Signature Date 2

MonthDayYear
Date
Signature
You must select "Review Answers" before you're able to submit this application.
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