Business Credit Reports

Company Information

Company Name

DBA

Address

City

State/Province

Zip/Postal Code

Country

Billing Address

Billing City

Billing State/Province

Billing Zip/Postal Code

Type of Business

Legal Form (Corporation, Partnership, or Proprietorship)

State of Incorporation

Tax Identification #

Physical Location Phone #

Billing Location Phone #

Industry Type (SIC Code or Description)

Business Start Date

Website

Fax

Contact Information

First Name

Last Name

Title

Phone

Owner/Officer Information #1

Owner/Officer Name

Ownership %

Title

Legal Last Name

Legal First Name

Date of Birth

SSN

Cell #

Home Address

City

State

Zip

Owner/Officer Information #2

Owner/Officer Name

Ownership %

Title

Legal Last Name

Legal First Name

Date of Birth

SSN

Cell #

Home Address

City

State

Zip

Trade Reference #1

Company Name

Contact

Phone #

Trade Reference #2

Company Name

Contact

Phone #

Landlord/Mortgage Information

Landlord/Mortgage Holder Name

Contact

Phone #

Request

Requested Amount

Comments (400 characters max)

Terms

By signing below, each of the above listed business and business owner/officer (individually and collectively, “you”) authorize “Standard Equipment Finance LLC” and each of its representatives, successors, assigns and designees (“Recipients”) that may be involved with or acquire Equipment Financing and/or commercial advances having daily repayment features or purchases of future receivables including Merchant Cash Advance transactions, 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 “Standard Equipment Finance 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 credit or financial institution, of any information relating to any of you, to “Standard Equipment Finance LLC” and to each of the Recipients, on its own behalf.

I accept the above terms.

Please Sign Below

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Submit the Request

By clicking 'Submit', I/We authorize Standard Equipment Finance LLC or its agent to obtain a credit report for the purpose of establishing, maintaining or enforcing a credit relationship. Upon approval of credit, I/We agree to pay our account according to the terms granted and I/We acknowledge that I/We have read and fully understand this application.

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