MiILE HIGH FUNDING: DAMON SCORDO (983) 333-8338
DAMON.SCORDO@GMAIL.COM
BUSINESS CREDIT APPLICATION
CUSTOMER (EXACT LEGAL BUSINESS NAME AS ON SOS)
*
DBA (DOING BUSINESS AS-IF APPLICABLE)
CUSTOMER PHYSICAL ADDRESS (NO P.O. BOXES)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
FEDERAL TAX ID NUMBER / EIN (REQUIRED)
*
CELL NUMBER (REQUIRED)
*
EMAIL (REQUIRED)
*
example@example.com
BUSINESS DESCRIPTION (DETAIL OF BUSINESS ACTIVITIES-WHAT DOES YOUR COMPANY DO?)
*
YEARS IN BUSINESS
*
PREVIOUS YEAR GROSS REVENUE (REQUIRED)
*
BUSINESS TYPE SELECT ONE (REQUIRED)
*
C
PARTNERSHIP
SOLE PROPRIETORSHIP
LLC
GOVT/MUNI
PLLC
EQUIPMENT LOCATION PHYSICAL ADDRESS (NO P.O. BOXES)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
OWNERSHIP INFORMATION: Information required for each owner (Sole Proprietor or Managing Partner of Partnership) with an equity interest of 20% or more and each guarantor as well as any one individual with a significant ability to manage or control the entity.
APPLICANT/AUTHORIZED REPRESENTATIVE/GUARANTOR (FIRST & LAST)
*
TITLE
*
SOCIAL SECURITY NUMBER (REQUIRED)
*
% OWNED
*
DATE OF BIRTH
*
-
Month
-
Day
Year
Date
PRIMARY MAILING ADDRESS
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
HOME/CELL PHONE NUMBER
*
BANK REFERENCES
BANK NAME
*
CONTACT
PHONE NUMBER
ACCOUNT NUMBER
DEALER INFORMATION
SELLER/DEALER/VENODR/DISTRIBUTOR COMPANY
LOCATION
PHONE NUMBER
SALESPERSON
EQUIPMENT DESCRIPTION / TERMS OF SALE Provide a separate Sales Order/Bill of Sale/Invoice - of Equipment with specifications and pricing details.
YEAR
MAKE
MODEL
COLOR
EQUIPMENT CONDITION
NEW
USED
SALESPRICE
TOTAL FINANCE REQUEST
UPLOAD DOCS: 1)DRIVERS LICENSE 2)BANK STATEMENTS 3 MONTHS 3) INVOICE
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The undersigned acknowledge(s) that this signed application, submitted for the purpose of obtaining credit is true and correct in every detail and fairly shows my/our financial condition at the time indicated. I/We will give prompt written notice of any subsequent substantial change in such financial condition occurring before discharge of this obligation to you. I/We understand that you will retain this application whether or not you approve the credit in connection with which is submitted. You are authorized to check any credit or employment history or any other information herein. Any willful misrepresentation on this statement could result in a fine and/or imprisonment under provisions of the U.S. criminal code.
*
I am applying for CREDIT as a personal guarantor of a company/corporation.
APPLICANT/AUTHORIZED REPRESENTATIVE/GUARANTOR SIGNATURE - INDIVIDUAL
*
TITLE
DATE
*
-
Month
-
Day
Year
Date
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