Commercial Credit Application Form

Commercial Credit Application Form

Locate Capital, LLC
Company Information
Name of Company: *
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Type:*
Type of Business:*
EIN/Tax I.D. Number:
Years in Business:*
Do you own any Equipment? How many?*
Owner Information #1
Name:*

PrefixFirst NameLast Name (SR, JR, III, ect.)
Phone Number:*
Please enter a valid phone number.
Title/Position:
Ownership %:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth:*

MonthDayYear
Date
Social Security Number:*
Estimated Credit Score*
Email:*
example@example.com
Owner Information #2
Name:

PrefixFirst NameLast Name
Phone Number:
Please enter a valid phone number.
Title/Position:
Ownership %:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth:

MonthDayYear
Date
Social Security Number:
Estimated Credit Score
Email:
example@example.com
Company's Financial Information
Annual Gross İncome:*
Amount of Cash on Hand:*
Equipment Interested in Purchasing
Insert Link to Equipment:
OR Brief Summary of What You're Looking to Buy:
Price of Equipment:*
Vendor Selling Equipment:
Max Down Payment You Can Offer:*
Have you or the other owners ever filed for bankruptcy?*

YesNo
Have you or the other owners ever had a repossession?*

YesNo
Are you a US Citizen?*

YesNo
Disclosure

By signing your name(s) below and marking "Yes" for the "I Consent to Disclosure" you and all applicants listed agree that:

The statements on this application are correct, true and accurate to the best of my/our knowledge so that Locate Capital, LLC, its affiliates, funding sources and lenders can make credit decisons. Each applicant does affirm their identity. Each applicant authorizes that Locate Capital, LLC, its affiliates, funding sources and lenders may obtain personal credit reports from all credit bureaus, and may obtain business credit reports. Each applicant understands that this application is strictly for business/commercial purpose. No approval or commitment exists until the applicant(s) receive written approval or commitment from Locate Capital, LLC, its affiliates, funding sources, or lenders. An electronic signature or photocopy of signed document shall be valid as the original.
I Consent to Disclosure*

Yes
Signature*

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Signature for 2nd Owner (if no 2nd applicant, just put an "X")*

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Date*

MonthDayYear
Date
Should be Empty:

Commercial Credit Application Form

Company Information

Owner Information #1

Owner Information #2

Company's Financial Information

Equipment Interested in Purchasing