PavementGroup Online Credit Application
Legal Company Name
*
DBA
-
Phone #
Email
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
-
Federal TAX ID
Website
Years under current ownership
Legal Structure
Sole Prop
Partnership
LLC
Corporation
Municipal
Not For Profit
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Equipment
Vendor Contact
First Name
Last Name
Equipment
Term (in months)
24
36
48
60
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Business Ownership
Please provide the following for any owner that owns more than 10% of the company.
Number of Owners
One
Two
Three
Four
Name of Owner 1
*
First Name
Last Name
Title
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Social Security
*
Email
example@example.com
Name of Owner 2
First Name
Last Name
Address 2
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Social Security
Email
example@example.com
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Agreement
(By checking these boxes you are agreeing to our terms - should you have any questions please contact us)
Agreement and Terms
*
Additional information may be required based upon time in business, current credit standing, and application amount. Each individual signing below certifies that the information provided in this credit application is accurate and complete. Each individual signing below authorizes Catapult Equipment Finance or any lender or funding source which may be utilized (collectively referred to as “Lenders”) to obtain information from the references listed above and obtain a consumer credit report that will be ongoing and relate not only to the evaluation and/or extension of the business credit requested, but also for purposes of reviewing the account, increasing the credit line on the account (if applicable), taking collection action on the account, and for any other legitimate purpose associated with the account as may be needed from time to time. Each individual signing below further waives any right or claim which such individual would otherwise have under the Fair Credit Reporting Act in the absence of this continuing consent.
I certify and agree to the above statement.
Submit
Should be Empty: