Equipment Finance Application

Equipment Finance Application

Michael Formica

mikef@firstfinllc.com

610-764-3600
Credit Application
Business Info:
Business Type*
Legal Business Name*
D/B/A
Time in Business*
Nature of Business*
Federal ID Number*
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County*
E-mail*
example@example.com
Business Phone*
Cell Phone*
Date of Incorporation
State of Incorporation
OWNERSHIP INFO:

Who owns the business?
Full Name*

First NameMiddle NameLast Name
Business Title*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
SSN*
DOB*

MonthDayYear
Date
% of Business Owned*
Citizenship Status*
Residence *
OWNERSHIP INFO:

Who owns the business?
Years at Current Address*
Have you financed or leased equipment for your business in the past? If yes, enter bank name*
What Bank do you use for Checking & Savings?*
EQUIPMENT INFO
Dealer or Seller's Name*
Phone Number
Please enter a valid phone number.
Salesperson Name
Email
example@example.com
Finance Request/Cost*
Equipment Year*
Equipment Make*
Equipment Model*
Equipment Description
What will the equipment be used for?
Address where equipment will be kept after purchase

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
The undersigned represents that all information provided with this Application is true and correct and I/We hereby authorizes First Financial, LLC, and/or its designees, assignees, and/or Lessor/Secured Party to obtain from third parties information it deems necessary to arrive at a decision regarding this Application. By submitting this form, the undersigned individual(s) as principal of and/or guarantor for the applicant, authorizes Lessor/Secured Party, its designee, assigns or potential assigns, to review his/her personal credit profile provided by a national credit bureau in considering this Application and for the purpose of update, renewal, or extension of credit to the Applicant or the collection of any resultant accounts. I authorize all deposit, borrowing, financial and trade information to be released to Lessor/Secured Party by telephone, fax and/or email. A photocopy, fax or electronic signature (via DocuSign) of this authorization shall be valid as the original. To help fight terrorism and money laundering, the information you provide will be verified to allow us to identify you.
Terms and conditions
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Credit Application

Business Info:

OWNERSHIP INFO:

OWNERSHIP INFO:

EQUIPMENT INFO

Terms and conditions