Financing Request Business Information
Corporate / Legal Name
*
DBA Name
Ownership Type
*
Please Select
Individual
Partnership
Corporation
Government
LLC
Non-profit
Publicly Traded
Legal Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is your DBA (Doing Business As) information same as Corporate/Legal?
*
Yes
No
Business Location (if different than legal address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Federal Tax ID / EIN
*
When was your business founded?
*
-
Month
-
Day
Year
Date
Website Address
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Principal Information
Please the principal who, directly or indirectly, through any contract, arrangement, understanding, relationship or otherwise, own the majority or 25% or more of the equity interests of the legal entity listed in this application.
Owner Name
*
First Name
Last Name
Title
*
Please Select
CEO
Chairman
Co-Owner
Controller
Director
General Manager
Office Manager
Owner
Partner
President
Treasurer
Vice President
Social Security Number
*
Estimated Credit Score
*
Date of Birth
*
-
Month
-
Day
Year
Date
Address & Contact Information
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Email
*
example@example.com
Ownership %
*
Is this the individual you want to list as management?
*
Yes
No
Equipment Description and Price $$
Credit Authorization
STREAMLINE BUSINESS FINANCING CREDIT AUTHORIZATION FORM This Credit Authorization Form (this “Form”) is submitted by “Applicant” in connection with its application for financing with STREAMLINE BUSINESS FINANCING and its affiliated lenders and financial partners. The Applicant hereby authorizes STREAMLINE BUSINESS FINANCING or its affiliates to obtain credit reports and other financial information in connection with the Applicant’s business credit application, and to share such information with other persons or entities that need it in determining financing credit approval and amount. The Applicant acknowledges that they received the disclosure below that explains their rights under the Fair Credit Reporting Act (“FCRA”). The Applicant confirms that they are authorized to provide company information and apply for financing on the company’s behalf. The Applicant also authorizes STREAMLINE BUSINESS FINANCING and its affiliates to communicate with Applicant’s employees, suppliers and other third parties as STREAMLINE BUSINESS FINANCING and its affiliates deems it necessary in connection with the Account. The Applicant warrants that all the information provided in connection with this financing application is true and correct, and hereby agrees to promptly notify STREAMLINE BUSINESS FINANCING of any changes to the information provided. By signing this form, Applicant affirms that they have read and understand the terms of this authorization and that are providing STREAMLINE BUSINESS FINANCING full written consent to obtain a credit reporting and financial information from 3rd party sources.
List of Items Needed For Loan Submission
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