Apply for Financing - BYLD Finance

1
Business Information
Legal Company Name
Doing Business As
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2
Business Address* This field is required.Please enter the address where the equipment will be shipping to
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
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Aruba
Australia
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Azerbaijan
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Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
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Bolivia
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Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
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Congo
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Costa Rica
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Croatia
Cuba
Curaçao
Cyprus
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Denmark
Djibouti
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Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
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Fiji
Finland
France
French Polynesia
Gabon
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Georgia
Germany
Ghana
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Guinea-Bissau
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Jordan
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Kenya
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Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
3
Additional Business Information
Website URL
Federal Tax ID Number
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Corporate
LLC
LTD
Non-Profit
Partnership
Public
Sole Proprietorship
Business Structure
Gross Sales YTD
Date Established (Example: MM/DD/YYYY)
Gross Sales Previous Year
Number of Employees
4
Do you own 100% of this business?* This field is required.
YESNO
5
Personal Owner Information
Title
Full Name
Ownership Percentage
Gross Annual Income
Social Security Number
Date of Birth (Example: MM/DD/YYYY)
6
Personal Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
7
Additional Personal Information
Please enter your email
Please Select
Please Select
US Citizen
Permanent Resident
Work Permit
Other
Citizenship Status
Business Phone Number
Mobile Phone Number
8
Would you like to add an additional owner?
YESNO
9
Personal Owner Information (2nd Owner)
Title
Full Name
Ownership Percentage
Gross Annual Income
Social Security Number
Date of Birth (Example: MM/DD/YYYY)
10
Personal Address (2nd Owner)* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
11
Additional Personal Information (2nd Owner)
Please enter your email
Please Select
Please Select
US Citizen
Permanent Resident
Work Permit
Other
Citizenship Status
Business Phone Number
Mobile Phone Number
12
Would you like to add an additional owner?
YESNO
13
Personal Owner Information (3rd Owner)
Title
Full Name
Ownership Percentage
Annual Gross Income
Social Security Number
Date of Birth (Example: MM/DD/YYYY)
14
Personal Address (3rd Owner)* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
15
Additional Personal Information (3rd Owner)
Please enter your email
Please Select
Please Select
US Citizen
Permanent Resident
Work Permit
Other
Citizenship Status
Business Phone Number
Mobile Phone Number
16
Vendor Information
Equipment Description
Dealer Name
Sales Representative Name
Dealer Phone Number
17
Lease/Finance Details
Equipment Cost
Please Select
Please Select
12 Months
24 Months
36 Months
48 Months
60 Months
Desired Term
18
Signature (Owner)* This field is required.CREDIT AUTHORIZATION AND ELECTRONIC SIGNATURE CONSENT I (We) authorize BYLD Finance, and their respective agents, designees, assigns, and/or funding sources to investigate and obtain credit information for purposes of evaluating and processing this credit application. This may include, but is not limited to, consumer credit reports, bank information, trade references, financial information, and accountant information. I (We) understand that BYLD Finance may initially obtain a soft credit inquiry for prequalification purposes, which does not impact my/our credit score. I (We) further authorize BYLD Finance and its funding sources to obtain additional credit information, including credit reports, as necessary for final approval, processing, funding, servicing, renewal, extension, or review of this credit or any subsequent or additional credit request. This authorization shall remain effective for the purposes stated above and may apply to future requests for additional financing unless otherwise revoked or replaced by a new written application. I (We) certify that all information provided in this application is true and correct to the best of my/our knowledge. I (We) understand and agree that an electronic copy of this application, including my/our electronic signature and authorizations, shall be considered valid and enforceable in the same manner as an original application and handwritten signature. By selecting the Submit or Submit for Approval button, I (We) acknowledge that I/we are electronically signing this application and agreeing to the terms, authorizations, and disclosures contained herein.
19
Signature (2nd Owner)* This field is required.CREDIT AUTHORIZATION AND ELECTRONIC SIGNATURE CONSENT I (We) authorize BYLD Finance, and their respective agents, designees, assigns, and/or funding sources to investigate and obtain credit information for purposes of evaluating and processing this credit application. This may include, but is not limited to, consumer credit reports, bank information, trade references, financial information, and accountant information. I (We) understand that BYLD Finance may initially obtain a soft credit inquiry for prequalification purposes, which does not impact my/our credit score. I (We) further authorize BYLD Finance and its funding sources to obtain additional credit information, including credit reports, as necessary for final approval, processing, funding, servicing, renewal, extension, or review of this credit or any subsequent or additional credit request. This authorization shall remain effective for the purposes stated above and may apply to future requests for additional financing unless otherwise revoked or replaced by a new written application. I (We) certify that all information provided in this application is true and correct to the best of my/our knowledge. I (We) understand and agree that an electronic copy of this application, including my/our electronic signature and authorizations, shall be considered valid and enforceable in the same manner as an original application and handwritten signature. By selecting the Submit or Submit for Approval button, I (We) acknowledge that I/we are electronically signing this application and agreeing to the terms, authorizations, and disclosures contained herein.
20
Signature (3rd Owner)* This field is required.CREDIT AUTHORIZATION AND ELECTRONIC SIGNATURE CONSENT I (We) authorize BYLD Finance, and their respective agents, designees, assigns, and/or funding sources to investigate and obtain credit information for purposes of evaluating and processing this credit application. This may include, but is not limited to, consumer credit reports, bank information, trade references, financial information, and accountant information. I (We) understand that BYLD Finance may initially obtain a soft credit inquiry for prequalification purposes, which does not impact my/our credit score. I (We) further authorize BYLD Finance and its funding sources to obtain additional credit information, including credit reports, as necessary for final approval, processing, funding, servicing, renewal, extension, or review of this credit or any subsequent or additional credit request. This authorization shall remain effective for the purposes stated above and may apply to future requests for additional financing unless otherwise revoked or replaced by a new written application. I (We) certify that all information provided in this application is true and correct to the best of my/our knowledge. I (We) understand and agree that an electronic copy of this application, including my/our electronic signature and authorizations, shall be considered valid and enforceable in the same manner as an original application and handwritten signature. By selecting the Submit or Submit for Approval button, I (We) acknowledge that I/we are electronically signing this application and agreeing to the terms, authorizations, and disclosures contained herein.
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