EQUIPMENT FINANCE APPLICATION
Step 1 of 5
BUSINESS APPLICANT INFORMATION
Business Contact Name
*
First Name
Last Name
Contact Title
*
Contact Email
*
example@example.com
Business Legal Name
*
DBA/Trade Name
Primary Business Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Business Phone #:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Business Structure
*
Corp
LLC
Sole Prop
LLP/Partnership
Municipality
Non-Profit
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EQUIPMENT FINANCE APPLICATION
Step 2 of 5
EQUIPMENT INFORMATION
Equipment Cost
*
Equipment Description:
*
Equipment Condition
Please Select
New
Used
Equipment Install Address
CHECK HERE IF SAME AS PRIMARY BUSINESS ADDRESS
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
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EQUIPMENT FINANCE APPLICATION
Step 3 of 5
EQUIPMENT VENDOR INFORMATION
Equipment Vendor Name
Vendor Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Vendor Phone #
Please enter a valid phone number.
Format: (000) 000-0000.
Vendor Website
Vendor Contact:
Vendor unknown?
CLICK HERE IF EQUIPMENT VENDOR IS UNKNOWN OR NOT YET IDENTIFIED
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EQUIPMENT FINANCE APPLICATION
Step 4 of 5
GUARANTOR INFORMATION
IMPORTANT: Providing personal guarantor information for all business owners is strongly recommended and may help us identify the widest range of financing options with fewer follow-up requests. Certain well-established businesses may qualify for corporate-only financing based on factors such as time in business, company size, financial strength, and established business credit.
Personal Guarantor 1
Personal Guarantor 1
First Name
Last Name
Guarantor #1 Social Security #:
1 - Same as Primary Business Address?
CHECK HERE IF PERSONAL GUARANTOR 1 IS THE SAME AS PRIMARY BUSINESS ADDRESS
Personal Guarantor 1 : Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Personal Guarantor 1 : Ownership %Ownership %
Personal Guarantor 1 : Signature
CHECK HERE TO ADD A SECOND ADDITIONAL GUARANTOR INFORMATION, AND/OR IF ABOVE DOES NOT EQUAL 100% OWNERSHIP
Add Guarantor
Personal Guarantor 2
Personal Guarantor 2
First Name
Last Name
Guarantor #2 Social Security #:
2 - Same as Primary Business Address?
CHECK HERE IF PERSONAL GUARANTOR 2 IS THE SAME AS PRIMARY BUSINESS ADDRESS
Personal Guarantor 2 : Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Personal Guarantor 2 : Ownership %
Personal Guarantor 2 : Signature
CHECK HERE TO ADD ADDITIONAL THIRD GUARANTOR INFORMATION, AND/OR IF ABOVE DOES NOT EQUAL 100% OWNERSHIP
Add Guarantor
Personal Guarantor 3
Personal Guarantor 3
First Name
Last Name
Guarantor #3 Social Security #:
3 - Same as Primary Business Address?
CHECK HERE IF PERSONAL GUARANTOR 3 IS THE SAME AS PRIMARY BUSINESS ADDRESS
Personal Guarantor 3 : Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Personal Guarantor 3 : Ownership %Ownership %
Personal Guarantor 3 : Signature
CHECK HERE TO ADD ADDITIONAL FOURTH GUARANTOR INFORMATION, AND/OR IF ABOVE DOES NOT EQUAL 100% OWNERSHIP
Add Guarantor
Personal Guarantor 4
Personal Guarantor 4
First Name
Last Name
Guarantor #4 Social Security #:
4 - Same as Primary Business Address?
CHECK HERE IF PERSONAL GUARANTOR 4 IS THE SAME AS PRIMARY BUSINESS ADDRESS
Personal Guarantor 4 : Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Personal Guarantor 4 : Ownership %Ownership %
Personal Guarantor 4 : Signature
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EQUIPMENT FINANCE APPLICATION
Step 5 of 5
Privacy Notice & Sensitive Information Disclosure and Consent
Applicant Signature
*
Submit
Should be Empty: