Credit Application

Credit Application
BUSINESS INFORMATION
Business name*
DBA
If applicable
Company officers*
Business Phone Number*
Please enter a valid phone number.
Fed Tax ID/EIN #*
Registered Company Address*

Street Address

CityState / Province

Postal / Zip Code
Type of business*

LLCPartnershipCorporationOther
Time in Business*

Under Year1-2 Years2-5 Years5+ years
Industry*
Business description*
Describe your business.
Number of Individuals Employed*
Annual Gross Revenue*
Monthly Revenue*
PERSONAL INFORMATION
Full Legal name*
Date of Birth*

MonthDayYear
Date
Social Security #*
Phone*
Email*
example@example.com
Personal Address*

Street Address

CityState / Province

Postal / Zip Code
Approximate credit score*

800+750+700+650+600+Below 600
Recent Bankruptcy?*

YESNO
Personally Guaranteeing Deal*

YESNO
Bank Name*
Bank Contact Name
If applicable
Type of Bank Account*

Business CheckingBusiness SavingsOther
Are you a homeowner?*

YesNo
If Yes How long
Requested Loan Amount*
Working with -*

Josh PowerChris CodayDennis TiefenthalerJack EvansOther
How did you Hear about us?*

ReferralWebsiteVendorlinked-inOther
AGREEMENT
1. By submitting this application, you certify that all information provided is true, correct, and complete and that the property leased or acquired with any credit provided will be used solely for business and commercial purposes. Providing email
addresses authorizes Golden Capital LLC to email information about financing, promotions, and other offers.

2. The applicant and the Owners/Partners/Members/Guarantors of the applicant listed above recognize that their individual credit histories may be a factor in the evaluation of the applicant for the credit it is applying for and, thus, authorize Golden Capital LLC or its designee to investigate their organizational and personal credit histories. This includes obtaining information from all sources including using their consumer credit reports in the credit evaluation and collection processes, and to update any such information periodically and, if the application for credit is approved, share such information with financing partners and professional advisors.

3. The undersigned authorizes all parties connected to release credit and financial information requested by Golden Capital LLC and its affiliates.
SIGNATURES
Name*
Signature*

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Date*

MonthDayYear
Date
Co Name and Title
If applicable
Co Signature

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If applicable
Date

MonthDayYear
Date
Please attach,

Three months of recent bank statements and Drivers license

contact your sales representative on this for additional information required.
File Upload

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Once your application is submitted, our team will promptly review it. A team member will reach out to you for any additional financial documentation if needed.

If you have any questions, please feel free to email us at info@golden-cap.com or call 314.488.0245.
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Credit Application

BUSINESS INFORMATION

PERSONAL INFORMATION

AGREEMENT

SIGNATURES