Harmony Equipment Application 2026

Equipment Financing Application
Applying For
Requested Amount of Funds
Company Information
Business Legal Name
DBA
If Applicable
EIN
Federal Tax ID
Business Start Date

MonthDayYear
Date
Business Type
Business Description
Services Provided
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Location of Equipment - If different from above

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Principal Information

(on officers, partners, and guarantors)
First NameLast Name
Title
Ownership %
SSN
Date of Birth

MonthDayYear
Date
Email
example@example.com
Mobile Number
Please enter a valid phone number.Format: (000) 000-0000.
Rent or Own
Owner Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Owner 2

If Applicable
First NameLast Name
Title
Ownership %
SSN
Date of Birth

MonthDayYear
Date
Email
example@example.com
Mobile Number
Please enter a valid phone number.Format: (000) 000-0000.
Rent or Own?
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Vendor Information

(equipment seller, lease only)
Vendor/Supplier
Contact Person
Vendor Email
example@example.com
Vendor Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Vendor Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Equipment Description
Signature
Date

MonthDayYear
Date
Equipment Invoice or Quote

Cancelof
Bank Statements - 3 months

Cancelof
By signing below, each of the above listed business and business owner/officer (individually and collectively, “you”) authorize Harmony Funding Group LLC (“Harmony Funding Group LLC”) and each of its representatives, successors, assigns and designees (“Recipients”) that may be involved with or acquire commercial loans having daily or weekly repayment features, including without limitation the application therefor (collectively, “Transactions”) to obtain consumer or personal, business and investigative reports and other information about you, including credit card processor statements and bank statements, from one or more consumer reporting agencies, such as TransUnion, Experian and Equifax, and from other credit bureaus, banks, creditors and other third parties. You also authorize Harmony Funding Group LLC to transmit this application form, along with any of the foregoing information obtained in connection with this application, to any or all of the Recipients for the foregoing purposes. You also consent to the release, by any creditor or financial institution, of any information relating to any of you, to Harmony Funding Group LLC and to each of the Recipients, on its own behalf.
Should be Empty:

Equipment Financing Application

Company Information

Principal Information

Owner 2

Vendor Information